Beth A Berhorst, MED, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2003027650 Issued in MO

Practice address

201 N Garth Ave
Columbia, MO 65203-4105

Phone

(573) 449-3953

Fax

(573) 874-3189

NPI assigned

May 3, 2007

Last updated

Dec 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bberhorst93906@direct-ehr-ssmhc.com

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.

• SSM Regional Health Services

  dba SSM Health Medical Group - Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson City, MO
  • NPI 1053368159
  Medicare reassignment NPD
• SSM Regional Health Services

  dba SSM Health Pharmacy

  • Community/Retail Pharmacy
  • Jefferson City, MO
  • NPI 1922119726
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1962624395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 SHAMROCK RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651019363",
            "telephone_number": "573-690-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N GARTH AVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034105",
            "telephone_number": "573-449-3953",
            "fax_number": "573-874-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHORST",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2003027650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "866201908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING NPI",
            "identifier": "1649269622",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCY MEDICAID NUMBER",
            "identifier": "506201904",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862990702",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2701 W Edgewood Dr Ste 101",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651095890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bberhorst93906@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bberhorst93906@direct-ehr-ssmhc.com",
            "address_1": "2701 W Edgewood Dr Ste 101",
            "city": "Jefferson City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "651095890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Eva Berardi, MSW, LCSW
• Darrah Berck, M.D.
• Madeleine Berg
• Greg Alan Bergman, ACSW, LCSW
• Jeffrey S Bergmann, PHD, L.P.C.
• Patricia A. Beringer
• Caryn Berkowitz, MHS CCC-SLP
• Carole Bernard, PH.D.
• Donte Leshon Bernard, PHD
• Michelle Lenora Bernard, APRN

• Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.

Verify at the official NPI Registry.