Tracie Bentley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C1300122 Issued in OH

Practice address

901 Washington St
Portsmouth, OH 45662-3944

Phone

(740) 354-7702

Fax

(740) 353-1662

NPI assigned

Aug 2, 2017

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 OH

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shawnee Mental Health Center IncGroup PAC ID 7012902075, 25 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Shawnee Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portsmouth, OH
  • NPI 1336173236
  Medicare reassignment Care Compare group NPD
• Shawnee Mental Health Center, Inc.

  • Community/Retail Pharmacy
  • Portsmouth, OH
  • NPI 1992524045
  NPD
• Shawnee Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, OH
  • NPI 1063982924
  NPD (past)
• Shawnee Mental Health Center, Inc.

  • Clinic/Center
  • Portsmouth, OH
  • NPI 1730682733
  NPD (past)
• Shawnee Mental Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Union, OH
  • NPI 1750851622
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1407370331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "TRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "C.1300122",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C1300122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Daniel Bennington, D.O.
• Brenda G Bentley, LICDC, LSW
• Jared Carson Bentley, M.D.
• Kimberly Ann Bentley
• Robin Bentley
• Denise Berndt, CDCA
• Philip Russell Berndt, PRS
• Carolyn L Berry-Pettit, CNS
• Joshua Bethel
• Sarah J Betson

• Professional Counselor in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.