Individual provider Active NPI

Toni Bethea-Byrd, LCMHC, LCAS-A

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1306236658
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11213 Issued in NC
Practice address
6881 Raeford Rd
Fayetteville, NC 28304-2630
Phone
(910) 423-6200
Fax
(910) 429-0800
NPI assigned
Jan 26, 2015
Last updated
May 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11213 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20138 NC

Addresses

Primary practice location

6881 Raeford Rd
Fayetteville, NC 28304-2630

Mailing address

818 S Main St
Bladenboro, NC 28320-5970
Phone (910) 755-5222

Other practice location 1

818 S Main St
Bladenboro, NC 28320-5970
Phone (910) 755-5222

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

State licenses

LicenseStateTypeSpecialty
20138NCMDContractor
11213NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling Center, Inc., P.C. CurrentSince May 24, 2020 Accepting new patients
Graceway Services, PC Addiction (Substance Use Disorder) Current Accepting new patients
Coastal Southeastern United Care LLC Mental Health Past Accepting new patients

Locations

6881 Raeford Rd
Fayetteville, NC 28304
Phone (910) 308-8431

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1306236658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S MAIN ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283205970",
            "telephone_number": "910-755-5222",
            "fax_number": "910-755-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042630",
            "telephone_number": "910-423-6200",
            "fax_number": "910-429-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "818 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bladenboro",
            "state": "NC",
            "postal_code": "283205970",
            "country_code": "US",
            "telephone_number": "910-755-5222",
            "fax_number": "910-755-5255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEA-BYRD",
        "first_name": "TONI",
        "credential": "LCMHC, LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11213",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.