Individual provider Active NPI

Bethany Ann Henrichs

  • Counselor
  • Elgin, IL
National Provider Identifier
1013402023
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.013066 Issued in IL
Practice address
695 S State St
Elgin, IL 60123-7673
Phone
(847) 931-6200
NPI assigned
Jun 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.013066 IL Primary

Addresses

Primary practice location

695 S State St
Elgin, IL 60123-7673

Mailing address

695 S State St
Elgin, IL 60123-7673
Phone (847) 931-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20250715001331 IL Practitioner - Mental Health Counselor 8820503204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricity Family ServicesGroup PAC ID 7416946934, 5 clinicians

Practice addresses (Care Compare)

1120 Randall CT
Geneva, IL 60134-3911
Phone (630) 232-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.013066ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Family Services CurrentSince May 1, 2025 Accepting new patients
Tricity Family Services CurrentSince May 1, 2025 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

1120 Randall Ct
Geneva, IL 60134
Phone (630) 232-1070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1013402023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S STATE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237673",
            "telephone_number": "847-931-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S STATE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237673",
            "telephone_number": "847-931-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICHS",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.013066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.