Active NPI
Beverly W Barker, LPC, LMFT
- Professional Counselor
- Waco, TX
National Provider Identifier
1750580247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9490
- Practice address
- 305 Londonderry Dr
Suite 1
Waco, TX 76712-7929 - Phone
- (254) 776-4850
- Fax
- (254) 772-5178
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9490 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 2002 | TX |
Addresses
Primary practice location
305 Londonderry Dr
Suite 1
Waco, TX 76712-7929
Mailing address
305 Londonderry Dr
Suite 1
Waco, TX 76712-7929
Phone (254) 776-4850
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9490 | TX | MD | Professional Counselor |
| 2002 | TX | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1750580247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR",
"address_2": "SUITE 1",
"city": "WACO",
"state": "TX",
"postal_code": "767127929",
"telephone_number": "254-776-4850",
"fax_number": "254-772-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LONDONDERRY DR",
"address_2": "SUITE 1",
"city": "WACO",
"state": "TX",
"postal_code": "767127929",
"telephone_number": "254-776-4850",
"fax_number": "254-772-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "BEVERLY",
"middle_name": "W",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9490",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "2002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.