Bethany J Walker, APSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

135180 Issued in WI

Practice address

380 S Townline Rd
Wautoma, WI 54982-6900

Phone

(920) 787-6550

Fax

(920) 787-0421

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

County of WausharaGroup PAC ID 9638071681, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• County of Waushara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wautoma, WI
  • NPI 1932207362

  WI

  Medicare reassignment Care Compare group NPD
• County of Waushara

  • Public Health or Welfare Agency
  • Wautoma, WI
  • NPI 1528232832
  Care Compare group
• County of Waushara

  • Land Ambulance
  • Wautoma, WI
  • NPI 1568517688
  Care Compare group

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1093536062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826900",
            "telephone_number": "920-787-6550",
            "fax_number": "920-787-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826900",
            "telephone_number": "920-787-6550",
            "fax_number": "920-787-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BETHANY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "135180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Richard Tyler, O. D.
• Laurie A Van Grinsven, PA-C
• Vandecastle Family Chiropractic Clinic
• Mark James Vandecastle, D.C.
• Clara L Voigtlander, LCSW
• Jennifer A Ward, LCSW
• Judith Ann Warren, LMFT
• Waushara County
• Waushara County Government
• Waushara Dental Associates S.C.

• All providers in Wautoma, WI
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.

Verify at the official NPI Registry.