Beryl D Southall, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3986 County Road 454
El Campo, TX 77437-6640

Phone

(979) 997-0527

NPI assigned

Jun 30, 2020

Last updated

Jan 13, 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 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional, TX

  Medicare reassignment NPD
• Matagorda Episcopal Health Outreach Program Corporation

  dba MEHOP Physician Group

  • Federally Qualified Health Center (FQHC)
  • Bay City, TX
  • NPI 1598024788
  NPD
• Matagorda Episcopal Health Outreach Program

  • Federally Qualified Health Center (FQHC)
  • Palacios, TX
  • NPI 1467009092
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1629695291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 COUNTY ROAD 454",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774376640",
            "telephone_number": "979-997-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3986 COUNTY ROAD 454",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774376640",
            "telephone_number": "979-997-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHALL",
        "first_name": "BERYL",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "77657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SMG Signature Medical Group (TGMA El Campo Rural Health Clinic)
• Smile Studios PLLC
• Hunter Wyatt Smith, DO
• South Texas Latch LLC
• South Texas Medical Clinics, P.a.
• Southwest Orthopedic Group, LLP
• Wilford Stephen
• Scott Lewis Stephenson, DC
• Carrie Ann Stogner, L.A.T.
• Matthew Robert Strepka, DDS

• Professional Counselor in El Campo, TX
• Providers in El Campo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.