Active NPI
Bethany Cecelia Merrett, MS, LPC, NCC
- Professional Counselor
- Decatur, GA
National Provider Identifier
1164040713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011313
- Practice address
- 223 Kathryn Ave
Decatur, GA 30030-5017 - Phone
- (770) 856-1232
- NPI assigned
- Jul 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011313 | GA | Primary |
Addresses
Primary practice location
223 Kathryn Ave
Decatur, GA 30030-5017
Mailing address
PO Box 1428
Decatur, GA 30031-1428
Phone (770) 856-1232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 12, 2026 through Jun 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011313 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1164040713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1428",
"city": "DECATUR",
"state": "GA",
"postal_code": "300311428",
"telephone_number": "770-856-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 KATHRYN AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300305017",
"telephone_number": "770-856-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRETT",
"first_name": "BETHANY",
"middle_name": "CECELIA",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.