Active NPI
Bethany T. Steele, MA, LPC, NCC
- Mental Health Counselor
- Forest, VA
National Provider Identifier
1285387753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701011215
- Practice address
- 316 Brook Park PL
Forest, VA 24551-2766 - Phone
- (434) 533-1088
- NPI assigned
- Feb 3, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701011215 | VA | Primary |
Addresses
Primary practice location
316 Brook Park PL
Forest, VA 24551-2766
Mailing address
622 Leesville Rd
Lynchburg, VA 24502-2855
Phone (865) 567-4013
Other names 1
- Bethany T. Doan
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011215 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Living Services | Current | Accepting new patients |
Locations
316 Brook Park Pl
Ste A1
Forest, VA 24551
Phone (434) 533-1088
316 Brook Park Pl
Forest, VA 24551
Phone (434) 229-7915
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Forest, VA
- NPI 1487054342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643846400000",
"number": "1285387753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 LEESVILLE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245022855",
"telephone_number": "865-567-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 BROOK PARK PL",
"city": "FOREST",
"state": "VA",
"postal_code": "245512766",
"telephone_number": "434-533-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "BETHANY",
"middle_name": "T.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-03",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701011215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "DOAN",
"middle_name": "T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.