Betty Kathleen Demine, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

420 Thomaston St
Zebulon, GA 30295-3387

Phone

(404) 960-1282

Fax

(855) 817-2428

NPI assigned

Oct 9, 2019

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Discovery Counseling and Assessment Center, LLC

  • Professional Counselor
  • Sharpsburg, GA
  • NPI 1629439617
  Medicare reassignment NPD
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1124183082
  Medicare reassignment NPD
• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Lagrange, GA
  • NPI 1588797799
  NPD
• Pathways Center for Behavioral & Developmental Growth

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1407492846
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1366084576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 WOODBURY HWY",
            "city": "GREENVILLE",
            "state": "GA",
            "postal_code": "302221514",
            "telephone_number": "706-672-1118",
            "fax_number": "706-672-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THOMASTON ST",
            "city": "ZEBULON",
            "state": "GA",
            "postal_code": "302953387",
            "telephone_number": "404-960-1282",
            "fax_number": "855-817-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMINE",
        "first_name": "BETTY",
        "middle_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "007579",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain and Body Connections, LLC
• Heather Michele Hall Caney, LPC
• City Pharmacy of Zebulon PC
• City Pharmacy of Zebulon PC
• Lisa Decker
• Donna M. Haney M.D., P.C. (Pike Family Medicine)
• Valerie Dowden
• Eye Can See Eyewear 2
• Angela H. Farr, RN
• Sara Ford, PT

• Counselor in Zebulon, GA
• Providers in Zebulon, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.