MRS. BEVERLY JANE HERNDON MA, LMFT
NPI 1275636995
Marriage & Family Therapist in Dallas, GA

Q: What is Beverly Herndon's NPI number?

The NPI number for Beverly Herndon is 1275636995. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Beverly Herndon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Herndon was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2006

207 OVERLOOK DR, DALLAS, GA 30157(559) 457-8300 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Sep 10, 2024 (2 updates tracked since 2024).

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About Mrs. Beverly Jane Herndon Ma, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BEVERLY JANE HERNDON MA, LMFT (NPI 1275636995) is an individual marriage & family therapist in Dallas, Georgia, licensed in Georgia (001609) and active in the NPI registry since September 2006. She maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1275636995

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. BEVERLY JANE HERNDONCredential: MA, LMFT

Location Address207 OVERLOOK DRDallas, GA 30157-7487

Mailing Address2655 Dallas Hwy Sw Ste 310Marietta, GA 30064-7518 · (559) 457-8300

Phone(559) 457-8300

Sole ProprietorYes

Enumeration DateSeptember 7, 2006

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1275636995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in GA · 001609

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

207 OVERLOOK DR, Dallas, GA 30157

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Secondary Practice Location 1

Location 12655 Dallas Hwy SW Ste 310Marietta, GA 30064-7518 · Phone (559) 457-8300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Herndon's NPI number?

The NPI number for Beverly Herndon is 1275636995. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Beverly Herndon located?

Beverly Herndon practices at 207 Overlook Dr, Dallas, GA 30157. The listed phone number is (559) 457-8300.

What is Beverly Herndon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Beverly Herndon was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.