Active NPI
Bethany Baldwin Heydt, LPCA
- Professional Counselor
- Concord, NC
National Provider Identifier
1285078253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A10025
- Practice address
- 236 Lephillip Court
Suite Number D
Concord, NC 28025 - Phone
- (704) 786-4503
- Fax
- (704) 793-1098
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | A10025 | NC | Primary |
Addresses
Primary practice location
236 Lephillip Court
Suite Number D
Concord, NC 28025
Mailing address
825 Livingston Dr NE
Concord, NC 28025-9517
Phone (704) 783-8641
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 |
|---|---|---|---|
| A10025 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1285078253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 LIVINGSTON DR NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280259517",
"telephone_number": "704-783-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 LEPHILLIP COURT",
"address_2": "SUITE NUMBER D",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "704-786-4503",
"fax_number": "704-793-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYDT",
"first_name": "BETHANY",
"middle_name": "BALDWIN",
"name_prefix": "Mrs.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A10025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.