Individual provider Active NPI

Beverly Desir, LMFT

  • Marriage & Family Therapist
  • Plano, TX
National Provider Identifier
1346371069
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204241 Issued in TX
Practice address
5085 W Park Blvd Ste 200
Plano, TX 75093-2000
Phone
(972) 665-8484
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113145 CA
Marriage & Family Therapist 106H00000X IMF79859 CA
Marriage & Family Therapist 106H00000X 204241 TX Primary

Addresses

Primary practice location

5085 W Park Blvd Ste 200
Plano, TX 75093-2000

Mailing address

5085 W Park Blvd Ste 200
Plano, TX 75093-2000
Phone (972) 665-8484

Other practice location 1

7245 E Southgate Dr
Sacramento, CA 95823-2620
Phone (916) 427-7141 ext. 2412

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

LicenseStateTypeSpecialty
113145CAMDMarriage & Family Therapist
IMF79859CAMDMarriage & Family Therapist
204241TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1346371069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932000",
            "telephone_number": "972-665-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932000",
            "telephone_number": "972-665-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7245 E Southgate Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232620",
            "country_code": "US",
            "telephone_number": "916-427-7141 x2412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESIR",
        "first_name": "BEVERLY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113145",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF79859",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.