Individual provider Active NPI

Beth B Donovan, LPCMH

  • Mental Health Counselor
  • West Chester, PA
National Provider Identifier
1366716938
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1053 Country Club Rd
West Chester, PA 19382-8060
Phone
(302) 530-9520
Fax
(610) 279-7156
NPI assigned
Feb 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

1053 Country Club Rd
West Chester, PA 19382-8060

Mailing address

410 Foulk Rd Ste 102
Wilmington, DE 19803-3835
Phone (302) 530-9520

Other names 1

  • Beth B Bredimus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20231220002902 DE Practitioner - Mental Health Counselor 1456701226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

614 Black Gates Rd
Wilmington, DE 19803-2240
Phone (302) 530-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Minds, LLC CurrentSince Jan 1, 2024 Accepting new patients
Awareness and Therapeutic Attachment Associates, LLC Mental Health CurrentSince Feb 8, 2025 Accepting new patients
Jewish Family Services of Delaware PastSince Aug 1, 2016 Accepting new patients

Locations

501 Silverside Rd
Ste 121
Wilmington, DE 19809
Phone (302) 530-9520

410 Foulk Rd
Ste 102
Wilmington, DE 19803
Phone (302) 478-6199

Organizations & group practices 3

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1366716938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD STE 102",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033835",
            "telephone_number": "302-530-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 COUNTRY CLUB RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828060",
            "telephone_number": "302-530-9520",
            "fax_number": "610-279-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "BETH",
        "middle_name": "B",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BREDIMUS",
            "middle_name": "B",
            "credential": "LPCMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.