Individual provider Active NPI

Bethany Lynn Coyle, LPCC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1144256397
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
21120 Issued in AZ
Practice address
7530 E Main St Apt 201
Scottsdale, AZ 85251-4574
Phone
(480) 800-9303
Fax
(480) 800-6606
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E2865 OH
Counselor 101Y00000X 21120 AZ Primary

Addresses

Primary practice location

7530 E Main St Apt 201
Scottsdale, AZ 85251-4574

Mailing address

7530 E Main St Apt 201
Scottsdale, AZ 85251-4574
Phone (480) 800-9303

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21120AZMDCounselor
E2865OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Counseling & Wellness CurrentSince Jul 16, 2023 Accepting new patients
Valmoor LLC Past Accepting new patients

Locations

7530 E Main St
Apt 201
Scottsdale, AZ 85251
Phone (480) 800-9303

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1144256397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 E MAIN ST APT 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514574",
            "telephone_number": "480-800-9303",
            "fax_number": "480-800-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 E MAIN ST APT 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514574",
            "telephone_number": "480-800-9303",
            "fax_number": "480-800-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E2865",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "21120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; 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.