Individual provider Active NPI

Bethany L Ackerman, PH.D, LPC

  • Professional Counselor
  • North Huntingdon, PA
National Provider Identifier
1306176011
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005165 Issued in PA
Practice address
13380 Route 30 Ste 5D
North Huntingdon, PA 15642-1125
Phone
(724) 689-6714
NPI assigned
Dec 31, 2009
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005165 PA Primary

Addresses

Primary practice location

13380 Route 30 Ste 5D
North Huntingdon, PA 15642-1125

Mailing address

13380 Route 30 Ste 5D
North Huntingdon, PA 15642-1125
Phone (724) 689-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002592 PA Practitioner - Mental Health Counselor 6608228887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13380 Route 30
Suite 5D
North Huntingdon, PA 15642-1125
Phone (724) 689-6714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightening Hope Counseling, LLC CurrentSince Mar 11, 2024 Accepting new patients
Wesley Spectrum Services Past Accepting new patients
Wesley Spectrum Services Past Accepting new patients

Locations

13380 Route 30
Ste 5D
North Huntingdon, PA 15642
Phone (724) 689-6714

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1306176011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 ROUTE 30 STE 5D",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421125",
            "telephone_number": "724-689-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13380 ROUTE 30 STE 5D",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156421125",
            "telephone_number": "724-689-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "PH.D, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.