Individual provider Active NPI

Toyah Beverly, MA, LPC,LMFT

  • Marriage & Family Therapist
  • Austin, TX
National Provider Identifier
1609206382
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201779 Issued in TX
Practice address
3005 S Lamar Blvd
Ste-D 109 #318
Austin, TX 78704-8864
Phone
(512) 721-0417
NPI assigned
Nov 18, 2013
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 68460 TX
Marriage & Family Therapist 106H00000X 201779 TX Primary

Addresses

Primary practice location

3005 S Lamar Blvd
Ste-D 109 #318
Austin, TX 78704-8864

Mailing address

3005 S Lamar Blvd
Ste-D 109 #318
Austin, TX 78704-8864
Phone (512) 721-0417

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
201779TXMDMarriage & Family Therapist
68460TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1609206382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD",
            "address_2": "STE-D 109 #318",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-721-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD",
            "address_2": "STE-D 109 #318",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-721-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "TOYAH",
        "credential": "MA, LPC,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68460",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.