Beth Adrian Berghoff, PH.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

434 Issued in NC

Practice address

114 Highland Ave
Fayetteville, NC 28305-5306

Phone

(910) 484-0176

Fax

(910) 484-5781

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1730218843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HIGHLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055306",
            "telephone_number": "910-484-0176",
            "fax_number": "910-484-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HIGHLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055306",
            "telephone_number": "910-484-0176",
            "fax_number": "910-484-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHOFF",
        "first_name": "BETH",
        "middle_name": "ADRIAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131CT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105083",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A0122",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ryan Benton, DO
• Makenzie Lea Benton, PHARMD
• Simone Benton
• Susan N Benware, NP
• Deanna Benz, PHARM.D.
• Alexandria Berkley
• Matthew Berkshire, DO
• Roberto Bermudez, DPM
• Deborah Berntson, PHD
• Berry Counseling & Consulting, PLLC

• Marriage & Family Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.