Jennifer T Bethea, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · North Haven, CT
NPI 1306385802 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1306385802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1672 (CT)
- Practice address
- 352 State St
North Haven, CT 06473-3108 - Phone
- (203) 781-4600
- Fax
- (203) 781-4624
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1672 | CT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1672 | CT | Yes |
Addresses
Primary practice location
352 State St
North Haven, CT 06473-3108
Mailing address
1 Long Wharf Dr Ste 321
New Haven, CT 06511-5946
Phone (203) 781-4600
Other practice location 1
127 W 25th St
New York, NY 10001-7207
Phone (212) 529-6320 ext. 8726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004082286 | Medicaid | CT | |
| 008144778 | Medicaid | CT | |
| 008022626 | Medicaid | CT | |
| 500000315 | Medicaid | CT | |
| 008056168 | Medicaid | CT |
Other providers in North Haven, CT
- Moira Bell
- Benhaven Inc
- Denise Berendt
- Sharon Bertrand
- Cheryl Luedee Berube
- Ruchita Bhagat
- Mary Bieluczyk
- Kathryn Brown Bindel
- BJ'S Wholesale Club Inc.
- Kerri Blanchet
All providers in North Haven, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.