Julie M. Bertel

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2021042139 Issued in MO

Practice address

7827 Town Square Ave Ste 104-1243
O Fallon, MO 63368-7197

Phone

(314) 200-5548

NPI assigned

Nov 22, 2020

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Authentic Life Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • O'Fallon, MO
  • NPI 1710664867
  NPD Authorized official

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1609470541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7827 TOWN SQUARE AVE STE 104-1243",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687197",
            "telephone_number": "314-200-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7827 TOWN SQUARE AVE STE 104-1243",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687197",
            "telephone_number": "314-200-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTEL",
        "first_name": "JULIE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021042139",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah B Berkeley, OTR L
• Anthony J Berni, M.D.
• Danielle R Berra, MS, BCBA
• Molly Berry, PT, DPT
• Latina Berryhill
• Bethany Besand
• Danielle Besand, FNP-BC
• Best Care Dental (Dr. Maryana Kirolos)
• Best Care Vision, LLC
• Rebecca A Bethel, P.T.

• Professional Counselor in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.