Active NPI
Bethany Marie Shrewsbury Sr., LPC
- Mental Health Counselor
- El Paso, TX
National Provider Identifier
1154822757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75686
- Practice address
- 250 Thunderbird Dr Ste 5
El Paso, TX 79912-3915 - Phone
- (915) 307-7598
- Fax
- (915) 975-8223
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75686 | TX | Primary |
Addresses
Primary practice location
250 Thunderbird Dr Ste 5
El Paso, TX 79912-3915
Mailing address
821 Marimba Dr
El Paso, TX 79912-4922
Phone (915) 479-2168
Other practice location 1
821 Marimba Dr
El Paso, TX 79912-4922
Phone (915) 479-2168 ext. 91547
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380848701 | Medicaid | TX | |
| 74-1596159 | Medicaid | TX | |
| 825412163 | Other | TX | TAX ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
821 Marimba Dr
El Paso, TX 79912-4922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75686 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Loft Mind Body Spirit Counseling PLLC | Current | Accepting new patients | |
| New Beginnings Counseling and Psychotherapy, PLLC | Current | Accepting new patients |
Locations
250 Thunderbird Dr
Ste 5
El Paso, TX 79912
Phone (915) 307-7598
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- El Paso, TX
- NPI 1063375061
-
- Professional Counselor
- El Paso, TX
- NPI 1386582740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1154822757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 MARIMBA DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799124922",
"telephone_number": "915-479-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 THUNDERBIRD DR STE 5",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123915",
"telephone_number": "915-307-7598",
"fax_number": "915-975-8223"
}
],
"practiceLocations": [
{
"address_1": "821 Marimba Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799124922",
"country_code": "US",
"telephone_number": "915-479-2168 x91547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHREWSBURY",
"first_name": "BETHANY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"name_suffix": "Sr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2023-05-11",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380848701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74-1596159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "825412163",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.