Bethany L Ackerman, PH.D, LPC
Individual provider Active NPI Professional Counselor · North Huntingdon, PA
NPI 1306176011 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1306176011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC005165 (PA)
- Practice address
- 13380 Route 30 Ste 5D
North Huntingdon, PA 15642-1125 - Phone
- (724) 689-6714
- NPI assigned
- Dec 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240524002592 | PA | Practitioner - Mental Health Counselor | 6608228887 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enlightening Hope Counseling, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005165 | PA | Yes |
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
Other providers in North Huntingdon, PA
All providers in North Huntingdon, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.