Individual provider Active NPI

Beverly J. Floro, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1255486338
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16218 Issued in TX
Practice address
1714 Fort View Rd
#106
Austin, TX 78704-7671
Phone
(512) 699-7441
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16218 TX Primary

Addresses

Primary practice location

1714 Fort View Rd
#106
Austin, TX 78704-7671

Mailing address

513 Celery Loop
Austin, TX 78748-1045
Phone (512) 699-7441

Other identifiers 1

IdentifierTypeStateIssuer
028332701MedicaidTX

Other names 1

  • Ms. Beverly Siedlecki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1255486338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CELERY LOOP",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481045",
            "telephone_number": "512-699-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 FORT VIEW RD",
            "address_2": "#106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047671",
            "telephone_number": "512-699-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORO",
        "first_name": "BEVERLY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028332701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "SIEDLECKI",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.