NPIMap

Individual provider Active NPI

Bethany Wilson-Paul, LISW

  • Mental Health Counselor
  • Middletown, OH
National Provider Identifier
1124239629
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I-9409 Issued in OH
Practice address
1659 South Breiel Blvd
Middletown, OH 45044
Phone
(513) 424-0921
Fax
(513) 424-4810
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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 I-9409 OH Primary
Social Worker 104100000X I-9409 OH

Addresses

Primary practice location

1659 South Breiel Blvd
Middletown, OH 45044

Mailing address

1659 South Breiel Blvd
Middletown, OH 45044
Phone (513) 424-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-9409OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Inc. Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1124239629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 SOUTH BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-424-0921",
            "fax_number": "513-424-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 SOUTH BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-424-0921",
            "fax_number": "513-424-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-PAUL",
        "first_name": "BETHANY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-9409",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I-9409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.