Active NPI
Bethany Dayton
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1366897449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178010175
- Practice address
- 117 Adair Dr
Knoxville, TN 37918-1802 - Phone
- (865) 742-8927
- NPI assigned
- Apr 26, 2016
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000003977 | TN | |
| Professional Counselor | 101YP2500X | 178010175 | IL | Primary |
Addresses
Primary practice location
117 Adair Dr
Knoxville, TN 37918-1802
Mailing address
117 Adair Dr
Knoxville, TN 37918-1802
Phone (865) 742-8927
Other practice location 1
4854 N Seeley Ave
Unit 1
Chicago, IL 60625-7194
Phone (865) 742-8927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000003977 | TN | MD | Mental Health Counselor |
| 178010175 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearten Studio LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366897449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ADAIR DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181802",
"telephone_number": "865-742-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 ADAIR DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181802",
"telephone_number": "865-742-8927"
}
],
"practiceLocations": [
{
"address_1": "4854 N Seeley Ave",
"address_2": "Unit 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606257194",
"country_code": "US",
"telephone_number": "865-742-8927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAYTON",
"first_name": "BETHANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC0000003977",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178010175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.