Individual provider Active NPI

Catherine Clarisse Beery, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1760535041
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86033 Issued in CA
Practice address
10717 Camino Ruiz
Suite 207
San Diego, CA 92126-2360
Phone
(858) 695-2211
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86033 CA Primary

Addresses

Primary practice location

10717 Camino Ruiz
Suite 207
San Diego, CA 92126-2360

Mailing address

10717 Camino Ruiz
Suite 207
San Diego, CA 92126-2360
Phone (858) 695-2211

Other names 1

  • Ms. Catherine Clarisse Barrey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240228001023 CA Practitioner - Marriage and Family Therapist 3274978416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TLC Family Therapy CorpGroup PAC ID 6305254590, 4 clinicians

Practice addresses (Care Compare)

3455 Ingraham St
San Diego, CA 92109-6713
Phone (442) 777-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86033CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Family Therapy Corp Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Community Research Foundation Inc Past Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

3455 Ingraham St
San Diego, CA 92109
Phone (442) 777-2040

5965 Village Way
Ste 112
San Diego, CA 92130

5405 Morehouse Dr
Ste 120
San Diego, CA 92121
Phone (713) 826-1350

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1760535041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ",
            "address_2": "SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262360",
            "telephone_number": "858-695-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ",
            "address_2": "SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262360",
            "telephone_number": "858-695-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERY",
        "first_name": "CATHERINE",
        "middle_name": "CLARISSE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BARREY",
            "middle_name": "CLARISSE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.