Active NPI
Bethany Grace Pastore, LPCA
- Mental Health Counselor
- Somerset, KY
National Provider Identifier
1407619729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 285272
- Practice address
- 200 Belmont Ave
Somerset, KY 42501-2419 - Phone
- (606) 687-2038
- Fax
- (606) 200-3654
- NPI assigned
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 285272 | KY | Primary |
Addresses
Primary practice location
200 Belmont Ave
Somerset, KY 42501-2419
Mailing address
200 Belmont Ave
Somerset, KY 42501-2419
Phone (606) 687-2038
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 |
|---|---|---|---|
| 285272 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1407619729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BELMONT AVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012419",
"telephone_number": "606-687-2038",
"fax_number": "606-200-3654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELMONT AVE",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012419",
"telephone_number": "606-687-2038",
"fax_number": "606-200-3654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE",
"first_name": "BETHANY",
"middle_name": "GRACE",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "285272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.