Individual provider Active NPI

Becky Jo Demarest, MS

  • Mental Health Counselor
  • Fairmont, WV
National Provider Identifier
1346010006
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1322 Locust Ave
Fairmont, WV 26554-1436
Phone
(304) 366-0700
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1322 Locust Ave
Fairmont, WV 26554-1436

Mailing address

PO Box 1112
Fairmont, WV 26555-1112
Phone (304) 366-0700

Other practice location 1

57 Kirstens Way
New Milford, PA 18834-2023
Phone (570) 767-4127

Other names 1

  • Becky Jo Smith Former name

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
I20250805000410 PA Practitioner - Mental Health Counselor 2365950912 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Integrative Counseling Services, PC CurrentSince Jun 27, 2025 Accepting new patients
Children'S Service Center of Wyoming Valley, Inc CurrentSince Feb 23, 2026 Accepting new patients
Empowered Resilience Mental Health Past Accepting new patients

Locations

52 Summit St
New Milford, PA 18834
Phone (570) 465-2080

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

300 Mulberry St
Ste 301
Scranton, PA 18503
Phone (570) 955-5459

300 Mulberry St
Ste 201
Scranton, PA 18503
Phone (570) 955-5479

133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722

335 S Franklin St
Wilkes Barre, PA 18702
Phone (570) 825-6425

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1346010006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265551112",
            "telephone_number": "304-366-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541436",
            "telephone_number": "304-366-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Kirstens Way",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "PA",
            "postal_code": "188342023",
            "country_code": "US",
            "telephone_number": "570-767-4127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMAREST",
        "first_name": "BECKY",
        "middle_name": "JO",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "SMITH",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.