Individual provider Active NPI

Bethany Peetz, MA

  • Mental Health Counselor
  • Columbus, IN
National Provider Identifier
1215105770
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002268A Issued in IN
Practice address
515 Rocky Ford Rd
Columbus, IN 47203-1222
Phone
(833) 659-4357
NPI assigned
Feb 18, 2008
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002268A IN Primary

Addresses

Primary practice location

515 Rocky Ford Rd
Columbus, IN 47203-1222

Mailing address

4181 E 96TH St Ste 120
Indianapolis, IN 46240-3814
Phone (317) 743-9823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206000798 IN Practitioner - Mental Health Counselor 3072977677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2630 22ND St
Columbus, IN 47201-3702
Phone (812) 375-3784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 19, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Jan 19, 2024 Accepting new patients
Volunteers of America of Indiana, Inc Mental Health Past Accepting new patients
Volunteers of America of Indiana, Inc Mental Health Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

2630 22nd St
Columbus, IN 47201
Phone (812) 372-8680

Interoperability endpoints

  • Direct secure messaging: bpeetz25905@edirect.crh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1215105770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 E 96TH ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403814",
            "telephone_number": "317-743-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROCKY FORD RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031222",
            "telephone_number": "833-659-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETZ",
        "first_name": "BETHANY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002268A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.