Active NPI
Bespoke Wellness
- Public Health or Welfare Agency
- Cedar Hill, TX
National Provider Identifier
1740009596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- BESPOKE WELLNESS
- Practice address
- 1010 E Parkerville Rd
Cedar Hill, TX 75104-7100 - Phone
- (214) 356-2020
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerensa Veronica Berry-Nero, MSW LCPA
- Title
- Director
- Phone
- (214) 356-2020
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Social Worker | 104100000X | |||
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
1010 E Parkerville Rd
Cedar Hill, TX 75104-7100
Mailing address
1010 E Parkerville Rd
Cedar Hill, TX 75104-7100
Phone (214) 356-2020
Other names 1
- BeSpoken Wellness
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1740009596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E PARKERVILLE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751047100",
"telephone_number": "214-356-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E PARKERVILLE RD",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751047100",
"telephone_number": "214-356-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESPOKE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "BERRY-NERO",
"authorized_official_first_name": "KERENSA",
"authorized_official_middle_name": "VERONICA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-356-2020",
"authorized_official_credential": "MSW LCPA"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BeSpoken Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.