Individual provider Active NPI

Fernald Z Berry

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1821286071
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204225 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228000717 TX Practitioner - Marriage and Family Therapist 8527421262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT81719CAMDMarriage & Family Therapist
204225TXMDMarriage & Family Therapist
81719CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer and Associates Therapeutic Alliance, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Childnet Youth and Family Services, Inc. PastSince Jan 1, 2020 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.

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

Verify at the official NPI Registry.