Individual provider Active NPI

Jenny Betancis, LMHC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1104124551
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70666 Issued in TX
Practice address
8500 Boeing Dr
El Paso, TX 79925-1224
Phone
(915) 599-6600
NPI assigned
Mar 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 70666 TX
Professional Counselor 101YP2500X 70666 TX Primary

Addresses

Primary practice location

8500 Boeing Dr
El Paso, TX 79925-1224

Mailing address

201 E. Main St Suite 600
El Paso, TX 79901
Phone (915) 887-3410

Other practice location 1

6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231218001290 TX Practitioner - Mental Health Counselor 6204285141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

20008 Champion Forest Dr
Suite 704
Spring, TX 77379-8696
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70666TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Sunwest Behavioral Associates PA Mental Health Past Accepting new patients

Locations

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

16310 Tomball Pkwy
Ste 104
Houston, TX 77064
Phone (210) 864-1420

20008 Champion Forest Dr
Ste 704
Spring, TX 77379
Phone (469) 812-8434

Organizations & group practices 2

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": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1104124551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E. MAIN ST SUITE 600",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79901",
            "telephone_number": "915-887-3410",
            "fax_number": "915-351-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BOEING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251224",
            "telephone_number": "915-599-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 Doniphan Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Canutillo",
            "state": "TX",
            "postal_code": "798355005",
            "country_code": "US",
            "telephone_number": "915-877-5100",
            "fax_number": "915-877-5107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCIS",
        "first_name": "JENNY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70666",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.