Nathan Henry Berghorst, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50812 Issued in CA

Practice address

1604 Ford Ave Ste 2a
Modesto, CA 95350-4649

Phone

(209) 573-1883

Fax

(209) 521-0156

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1306088695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 BAKER DR",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953662523",
            "telephone_number": "209-573-1883",
            "fax_number": "209-521-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 FORD AVE STE 2A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504649",
            "telephone_number": "209-573-1883",
            "fax_number": "209-521-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHORST",
        "first_name": "NATHAN",
        "middle_name": "HENRY",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50812",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Berber
• Robyn Berdino, MFT, PCC TRAINEE
• Will Jerusalem Sales Berdos
• Alissa Cheyenne Berezay, LMFT
• Terri Denise Berger, CPNP
• Judy Rae Berglin, RN
• Kathryn Petiva Berglin
• Melissa Bergquist
• Marie Bergren
• Cheyenne Berio

• Marriage & Family Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.