Derik S. Berkebile, LCSW Outpatient Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DERIK S. BERKEBILE, LCSW OUTPATIENT COUNSELING SERVICES

Practice address

334 Budfield St Ste 152
Johnstown, PA 15904-3345

Phone

(814) 254-4588

Fax

(814) 254-4215

NPI assigned

Mar 3, 2023

Organization subpart

No

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

Authorized official

Name

Derik Steven Berkebile, LCSWNPI 1427402148

Title

Owner/Psychotherapist

Phone

(814) 254-4588

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derik Steven Berkebile, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1427402148
  NPD Authorized official
• Lisa Ann Zayac, LSW

  • Social Worker
  • Johnstown, PA
  • NPI 1053036624
  NPD

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1346940905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BUDFIELD ST STE 152",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043345",
            "telephone_number": "814-254-4588",
            "fax_number": "814-254-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BUDFIELD ST STE 152",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043345",
            "telephone_number": "814-254-4588",
            "fax_number": "814-254-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIK S. BERKEBILE, LCSW OUTPATIENT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "BERKEBILE",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "814-254-4588",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Rachel Deutch, M.A.

• Clinical Social Worker in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.