Active NPI
Beth Ann Eckley
- Mental Health Counselor
- Hermitage, PA
National Provider Identifier
1255512950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC004620
- Practice address
- 5 Golfwood Dr
Hermitage, PA 16148-3953 - Phone
- (724) 815-3479
- NPI assigned
- Nov 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2752 | MS | |
| Mental Health Counselor | 101YM0800X | PC004620 | PA | Primary |
Addresses
Primary practice location
5 Golfwood Dr
Hermitage, PA 16148-3953
Mailing address
5 Golfwood Dr
Hermitage, PA 16148-3953
Phone (724) 815-3479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14280747 | Other | CAQH |
Other names 1
- Beth Ann Groover
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | beth@theanchorclinic.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2752 | MS | MD | Mental Health Counselor |
| PC004620 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1255512950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GOLFWOOD DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483953",
"telephone_number": "724-815-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GOLFWOOD DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483953",
"telephone_number": "724-815-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLEY",
"first_name": "BETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2022-02-01",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2752",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC004620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14280747",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "beth@theanchorclinic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5 Golfwood Dr",
"city": "Hermitage",
"state": "PA",
"country_code": "US",
"postal_code": "161483953",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BETH",
"last_name": "GROOVER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.