Active NPI
Dell S Deberardinis, LPC
- Mental Health Counselor
- Spring, TX
National Provider Identifier
1487705802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 08555
- Practice address
- 5 Grogans Park Dr
215
Spring, TX 77380-2189 - Phone
- (281) 363-2060
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 08555 | TX | Primary |
Addresses
Primary practice location
5 Grogans Park Dr
215
Spring, TX 77380-2189
Mailing address
5 Grogans Park Dr
215
Spring, TX 77380-2189
Phone (281) 363-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260521000774 | TX | Practitioner - Mental Health Counselor | 5092284851 | Practice locations: Spring, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2365 W Settlers Way
Spring, TX 77380-1437
Phone (713) 299-7445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08555 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487705802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GROGANS PARK DR",
"address_2": "215",
"city": "SPRING",
"state": "TX",
"postal_code": "773802189",
"telephone_number": "281-363-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GROGANS PARK DR",
"address_2": "215",
"city": "SPRING",
"state": "TX",
"postal_code": "773802189",
"telephone_number": "281-363-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBERARDINIS",
"first_name": "DELL",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "08555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.