Active NPI
Bettina Maria Garner Earl
- Counselor
- Champaign, IL
National Provider Identifier
1154470540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 206 N Randolph St Ste 412
Champaign, IL 61820-3978 - Phone
- (219) 267-0064
- Fax
- (217) 379-4304
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
206 N Randolph St Ste 412
Champaign, IL 61820-3978
Mailing address
206 N Randolph St Ste 412
Champaign, IL 61820-3978
Phone (219) 267-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190424002266 | IL | Practitioner - Clinical Social Worker | 1759623648 | Practice locations: Champaign, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1154470540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST STE 412",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203978",
"telephone_number": "219-267-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST STE 412",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203978",
"telephone_number": "219-267-0064",
"fax_number": "217-379-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER EARL",
"first_name": "BETTINA",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.