Active NPI
Richard A. Betts, LPC
- Professional Counselor
- Centreville, VA
National Provider Identifier
1396764130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701000970
- Practice address
- 14369 Stonewater CT
Centreville, VA 20121-5731 - Phone
- (866) 627-6726
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701000970 | VA | Primary |
Addresses
Primary practice location
14369 Stonewater CT
Centreville, VA 20121-5731
Mailing address
13502 Pennsboro Dr
Chantilly, VA 20151-2724
Phone (866) 627-6726
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5407168 | Medicaid | VA | |
| 5407117 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701000970 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396764130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13502 PENNSBORO DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201512724",
"telephone_number": "866-627-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14369 STONEWATER CT",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201215731",
"telephone_number": "866-627-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "RICHARD",
"middle_name": "A.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701000970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5407168",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5407117",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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- Constance Victoria Bennett, RESIDENT IN COUNSELI
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- Erin Alicia Benson
- Best Choice Transportation Inc
- Better Wellness Acupuncture LLC
- Kassahun Bilcha, MD
- Blessed Acupuncture LLC
- Taneka M. Blue, OTD, OTR/L, CAPS
- Bluepoint Medical Associates LLC
- Bluepoint Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.