Individual provider Active NPI

Carla Louise Bettross, LPCC,ATR-BC,LPC,LPAT

  • Professional Counselor
  • Poland, OH
National Provider Identifier
1043401755
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0004279 Issued in OH
Practice address
33 Sheridan Rd
Poland, OH 44514-1680
Phone
(330) 605-3873
NPI assigned
Aug 7, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004227 PA
Professional Counselor 101YP2500X E.0004279 OH Primary

Addresses

Primary practice location

33 Sheridan Rd
Poland, OH 44514-1680

Mailing address

33 Sheridan Rd
Poland, OH 44514-1680
Phone (330) 605-3873

Other practice location 1

11 Shenango Rd Ste 1
New Castle, PA 16105-1177
Phone (724) 657-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260601002717 PA Practitioner - Mental Health Counselor 7719457654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1590 Wellington Ave
Savannah, NY 13146-3160

33 Sheridan Rd
Poland, OH 44514-1680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0004279OHMDProfessional Counselor
PC004227PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Apr 14, 2026 Accepting new patients
Richardson Psychiatric Associates,PC CurrentSince Apr 14, 2026 Accepting new patients
Harbor 22 Mental Health and Wellness LLC Current Accepting new patients

Locations

33 Sheridan Rd
Poland, OH 44514
Phone (330) 605-3873

11 Shenango Rd
Ste 1
New Castle, PA 16105
Phone (724) 657-1881

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1043401755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SHERIDAN RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141680",
            "telephone_number": "330-605-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SHERIDAN RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445141680",
            "telephone_number": "330-605-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Shenango Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051177",
            "country_code": "US",
            "telephone_number": "724-657-1881",
            "fax_number": "724-657-9178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTROSS",
        "first_name": "CARLA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "LPCC,ATR-BC,LPC,LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004227",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0004279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

Verify at the official NPI Registry.