Bethany Blankenheim, LPC, CACII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1008 Depot Hill Rd Ste 200
Broomfield, CO 80020-6724

Phone

(720) 232-2303

Fax

(720) 358-0846

NPI assigned

Mar 12, 2007

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indepth Therapy, LLC

  • Professional Counselor
  • Broomfield, CO
  • NPI 1003275439
  Medicare reassignment NPD Authorized official
• Indepth Therapy, LLC

  • Professional Counselor
  • Lakewood, CO
  • NPI 1124635867
  NPD (past) Authorized official
• Indepth Therapy, LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1558978452
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1255463386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 DEPOT HILL RD STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206724",
            "telephone_number": "720-232-2303",
            "fax_number": "720-358-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 DEPOT HILL RD STE 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206724",
            "telephone_number": "720-232-2303",
            "fax_number": "720-358-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 W 6th Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800201870",
            "country_code": "US",
            "telephone_number": "720-232-2303",
            "fax_number": "303-428-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENHEIM",
        "first_name": "BETHANY",
        "name_prefix": "Mrs.",
        "credential": "LPC, CACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "6920",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Biscoe, N.D., M.P.H.
• Julianne E Bishop, CNIM
• Kelly Bishop
• Jillene McMinn Black, OTR
• Laura Elizabeth Bland, PA-C
• Zoe Blosser
• Pamela Boaz, LCSW
• Shannon Bock, PA-C
• Bodies in Motion Chiropractic
• Body in Balance Chiropractic and Wellness, PLLC

• Professional Counselor in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.

Verify at the official NPI Registry.