Active NPI
Carla Louise Bettross, LPCC,ATR-BC,LPC,LPAT
- Professional Counselor
- Poland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0004279
- Practice address
- 33 Sheridan Rd
Poland, OH 44514-1680 - Phone
- (330) 605-3873
- NPI assigned
- Aug 7, 2007
- Last updated
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0004279 | OH | MD | Professional Counselor |
| PC004227 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Psychiatry & TMS PC | Current | Accepting new patients | |
| Richardson Psychiatric Associates,PC | Current | 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.
-
dba Reservoir Health
- Psychiatry Physician
- Fairfield, NJ
- NPI 1053971572
PA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poland, OH
- NPI 1942139597
-
- Mental Health Counselor
- New Castle, PA
- NPI 1124318910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.