Active NPI
Fernald Z Berry
- Marriage & Family Therapist
- Houston, TX
National Provider Identifier
1821286071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204225
- Practice address
- 12340 Jones Road, Ste 290
Houston, TX 77070-2892 - Phone
- (832) 756-2749
- Fax
- (859) 201-1151
- NPI assigned
- Oct 11, 2007
- Last updated
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT81719 | CA | |
| Marriage & Family Therapist | 106H00000X | 204225 | TX | Primary |
Addresses
Primary practice location
12340 Jones Road, Ste 290
Houston, TX 77070-2892
Mailing address
1934 Mossy Path LN
Katy, TX 77494-4961
Phone (714) 588-5324
Other practice location 1
24285 Katy Fwy Fl 4
Katy, TX 77494-1327
Phone (832) 756-2749
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@spencertherapies.com | Other |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT81719 | CA | MD | Marriage & Family Therapist |
| 204225 | TX | MD | Marriage & Family Therapist |
| 81719 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer and Associates Therapeutic Alliance, PLLC | Current | Accepting new patients | |
| Childnet Youth and Family Services, Inc. | Past | Accepting new patients |
Locations
12340 Jones Rd
Ste 290
Houston, TX 77070
Phone (281) 894-7222
13715 Office Park Dr
Houston, TX 77070
Phone (832) 756-2749
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1376089185
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- NPI 1275991465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1821286071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1934 MOSSY PATH LN",
"city": "KATY",
"state": "TX",
"postal_code": "774944961",
"telephone_number": "714-588-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 JONES ROAD, STE 290",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770702892",
"telephone_number": "832-756-2749",
"fax_number": "859-201-1151"
}
],
"practiceLocations": [
{
"address_1": "24285 Katy Fwy Fl 4",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774941327",
"country_code": "US",
"telephone_number": "832-756-2749",
"fax_number": "859-201-1151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERRY",
"first_name": "FERNALD",
"middle_name": "Z",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2023-08-07",
"certification_date": "2023-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT81719",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204225",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@spencertherapies.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "admin@spencertherapies.com",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12340 Jones Road, Ste 290",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770702892",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.