Betty J. Eitel, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

31363 Issued in TX

Practice address

700 NE Loop 820
Suite 200a
Hurst, TX 76053-4634

Phone

(817) 905-1277

Fax

(817) 887-5821

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• DFW Psychological & Consulting Services, Inc.

  • Counseling Psychologist
  • Hurst, TX
  • NPI 1255411310
  Medicare reassignment Authorized official
• Psychological Services of North Texas, PLLC

  • Clinical Psychologist
  • Colleyville, TX
  • NPI 1073909438
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316027477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE LOOP 820",
            "address_2": "SUITE 200A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534634",
            "telephone_number": "817-905-1277",
            "fax_number": "817-887-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE LOOP 820",
            "address_2": "SUITE 200A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534634",
            "telephone_number": "817-905-1277",
            "fax_number": "817-887-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EITEL",
        "first_name": "BETTY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "31363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87118A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kaitlyn Ebersole, OTR
• Educare Community Living Limited Partnership
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• Eleven 150 Solutions Therapy Services LLC
• Elite Care Services LLC
• Elliott&Joyce Langston
• Hannah Ellis, M.S., CCC-SLP

• Counseling Psychologist in Hurst, TX
• Providers in Hurst, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.