Active NPI
Destiny Janai Berry
- Professional Counselor
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93491
- Practice address
- 601 N Frio St BLDG 2
San Antonio, TX 78207-3011 - Phone
- (210) 261-3001
- Fax
- (210) 731-9661
- NPI assigned
- Sep 5, 2024
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 93491 | TX | Primary |
Addresses
Primary practice location
601 N Frio St BLDG 2
San Antonio, TX 78207-3011
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060
Other practice location 1
4203 Gardendale St Ste C206
San Antonio, TX 78229-3174
Phone (210) 580-4149
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93491 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bexar County Board of Trustess for Mental Health and Mental Retardatio | Past | Accepting new patients | |
| Aspira Counseling and Psychotherapy PLLC | Past | Accepting new patients | |
| Into the Roots Therapy, PLLC | Past | Accepting new patients | |
| Bexar County Board of Trustees for Mental Health Mental Retardation | Professional | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Center for Health Care Services
- Counselor
- San Antonio, TX
- NPI 1730134586
Professional
-
dba The Center for Health Care Services
- Clinical Medical Laboratory
- San Antonio, TX
- NPI 1215353826
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1720784903
-
dba Julia R Trevino, LCSW
- Clinical Social Worker
- New York, NY
- NPI 1619513462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1346075629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1060",
"fax_number": "210-261-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FRIO ST BLDG 2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073011",
"telephone_number": "210-261-3001",
"fax_number": "210-731-9661"
}
],
"practiceLocations": [
{
"address_1": "4203 Gardendale St Ste C206",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293174",
"country_code": "US",
"telephone_number": "210-580-4149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "DESTINY",
"middle_name": "JANAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.