Active NPI
Zachary David Van Den Berg, LPC-ASSOCIATE, ATR-P
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1861156432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 87246
- Practice address
- 8700 Menchaca Rd Ste 202
Austin, TX 78748-5373 - Phone
- (512) 577-7483
- NPI assigned
- Oct 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 87246 | TX | Primary |
Addresses
Primary practice location
8700 Menchaca Rd Ste 202
Austin, TX 78748-5373
Mailing address
8700 Menchaca Rd Ste 202
Austin, TX 78748-5373
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 |
|---|---|---|---|
| 87246 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1861156432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 MENCHACA RD STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 MENCHACA RD STE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485373",
"telephone_number": "512-577-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DEN BERG",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LPC-ASSOCIATE, ATR-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "87246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Alexandra Bailey Van Cleave
- William C Van de Graaf, MD
- Grace Van de Hoef, SLP
- Jordan Michael Van de Vere, C. PED
- Annessa Faye Van de Walle, FNP
- Roxane Van Der Lelie, MFT-A
- Christian J. Van Der Schijff, PT, DPT, LAT, ATC
- Tarina Van Der Stockt
- Catherine Van Der Westhuizen, MA, LPC, LMFT
- Heather Van Diest, MPH, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.