Bethany R Lang, MS NCC NCSC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006399 Issued in VA

Practice address

14631 Route 29 Ste 212
Centreville, VA 20121-5827

Phone

(571) 583-5210

NPI assigned

May 29, 2023

Last updated

May 20, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 22, 2024 through Jul 22, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Creative Connections, PLLC

  • Mental Health Counselor
  • Centreville, VA
  • NPI 1689505042
  NPD Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1285327171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 GRISTMILL SQUARE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203723",
            "telephone_number": "610-212-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 ROUTE 29 STE 212",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215827",
            "telephone_number": "571-583-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "BETHANY",
        "middle_name": "R",
        "credential": "MS NCC NCSC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kurtiak, DC
• Kvas Inc. (Griswold Home Care NoVA West)
• Hyue Kyung Kwon, DDS
• Susan Dahlstrom Lacroix, L.P.C.
• Lorne Robert Ladner, PH.D.
• Alexis Elaine Lapid
• Lance Alan Lasner, MD
• Laurie a. Weiss-Braunstein, LCSW,LLC
• Cassidy Le
• Cuong Le, D.O.

• Professional Counselor in Centreville, VA
• Providers in Centreville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.