Individual provider Active NPI

Bethany E. Onthank, LPC

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1184782831
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008539 Issued in MI
Practice address
216 Cass St
Traverse City, MI 49684-2507
Phone
(231) 941-1990
Fax
(231) 275-7780
NPI assigned
Dec 5, 2006
Last updated
Sep 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008539 MI Primary
School Counselor 101YS0200X 80393 MI
Social Worker 104100000X 6801073303 MI

Addresses

Primary practice location

216 Cass St
Traverse City, MI 49684-2507

Mailing address

216 Cass St
Traverse City, MI 49684-2507
Phone (231) 941-1990

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
6401008539MIMDProfessional Counselor
80393MIMDSchool Counselor
6801073303MIMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1184782831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842507",
            "telephone_number": "231-941-1990",
            "fax_number": "231-275-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CASS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842507",
            "telephone_number": "231-941-1990",
            "fax_number": "231-275-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTHANK",
        "first_name": "BETHANY",
        "middle_name": "E.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008539",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MI",
            "license": "80393",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801073303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.