Bethaney Lynne Hoffacker, MA, LMHC-QS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12054 Issued in FL

Practice address

8280 College Pkwy Ste 103
Fort Myers, FL 33919-5122

Phone

(941) 258-6944

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Bethaney Lynne Graf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SWFL Counseling, LLC

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1962153593
  NPD Authorized official
• Swag Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
  • NPI 1386482800
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1003171620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15741 SUNNY CREST LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052423",
            "telephone_number": "941-258-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 COLLEGE PKWY STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195122",
            "telephone_number": "941-258-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFACKER",
        "first_name": "BETHANEY",
        "middle_name": "LYNNE",
        "credential": "MA, LMHC-QS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH12054",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANEY",
            "last_name": "GRAF",
            "middle_name": "LYNNE",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander W. Hodulik, PA-C
• Andrew Hodulik, APRN
• Stephen Hodulik
• Sydnee Paige Hodulik
• Christopher B. Hoek, DDS
• Eliot Brian Hoffman, M.D.
• Lexie Melaine Hoffman, PHARM.D.
• Loren L. Hoffman, PH.D.
• Shirah Lynn Hoffman, M.S.CCC-SLP
• Michael David Hoffstetter, M.D.

• Mental Health Counselor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.