Active NPI
Otto Berdiel, LPC-S, LCDC
- Mental Health Counselor
- Spring, TX
National Provider Identifier
1497552145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82312
- Practice address
- 2500 S Millbend Dr Apt 1208
Spring, TX 77380-1853 - Phone
- (915) 251-3466
- NPI assigned
- Feb 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14127 | TX | |
| Mental Health Counselor | 101YM0800X | 82312 | TX | Primary |
Addresses
Primary practice location
2500 S Millbend Dr Apt 1208
Spring, TX 77380-1853
Mailing address
2500 S Millbend Dr Apt 1208
Spring, TX 77380-1853
Phone (915) 251-3466
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 |
|---|---|---|---|
| 14127 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 82312 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1497552145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S MILLBEND DR APT 1208",
"city": "SPRING",
"state": "TX",
"postal_code": "773801853",
"telephone_number": "915-251-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S MILLBEND DR APT 1208",
"city": "SPRING",
"state": "TX",
"postal_code": "773801853",
"telephone_number": "915-251-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERDIEL",
"first_name": "OTTO",
"credential": "LPC-S, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14127",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "82312",
"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 Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.