Individual provider Active NPI

Bethany T. Steele, MA, LPC, NCC

  • Mental Health Counselor
  • Forest, VA
National Provider Identifier
1285387753
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011215 Issued in VA
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

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
0701011215VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Living Services CurrentSince Feb 6, 2022 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.

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.

Verify at the official NPI Registry.