Individual provider Active NPI

Bethany Smith, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1366164642
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20528 Issued in AZ
Practice address
610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone
(602) 230-7373
Fax
(602) 441-5836
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-20528 AZ Primary

Addresses

Primary practice location

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373

Other practice location 1

3330 N 2nd St Ste 601
Phoenix, AZ 85012-2395
Phone (602) 230-7373

Other practice location 2

6424 E Greenway Pkwy Unit 150
Scottsdale, AZ 85254-2045
Phone (480) 757-6947

Other names 1

  • Bethany Spring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240815001919 AZ Practitioner - Mental Health Counselor 3870031305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denova Collaborative Health, LLCGroup PAC ID 2466437736, 141 clinicians

Practice addresses (Care Compare)

610 E Baseline Rd
Suite C 5
Phoenix, AZ 85042-6536
Phone (602) 230-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-20528AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC CurrentSince Aug 12, 2024 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients
Denova Collaborative Health, LLC CurrentSince Aug 12, 2024 Accepting new patients
Denova Collaborative Health, LLC Past Accepting new patients

Locations

9014 S Central Ave
Phoenix, AZ 85042
Phone (602) 384-8820

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

610 E Baseline Rd
Ste C5
Phoenix, AZ 85042

610 E Baseline Rd
Ste 5
Phoenix, AZ 85042

Organizations & group practices 4

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1366164642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122635",
            "telephone_number": "602-230-7373",
            "fax_number": "602-682-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BASELINE RD STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426536",
            "telephone_number": "602-230-7373",
            "fax_number": "602-441-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 N 2nd St Ste 601",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122395",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "fax_number": "602-230-5105",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6424 E Greenway Pkwy Unit 150",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852542045",
            "country_code": "US",
            "telephone_number": "480-757-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BETHANY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SPRING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.