Individual provider Active NPI

Bethany Pearl Brintle, LPC

  • Professional Counselor
  • Laurel Fork, VA
National Provider Identifier
1417010356
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005133 Issued in VA
Practice address
14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone
(276) 398-2292
Fax
(276) 398-3331
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005133 VA Primary
Mental Health Counselor 101YM0800X 4307 NC
Professional Counselor 101YP2500X 4307 NC

Addresses

Primary practice location

14558 Danville Pike
Laurel Fork, VA 24352-3982

Mailing address

106 Fairlake LN
Laurel Fork, VA 24352-3987

Other practice location 1

351 Riverside Dr
Mount Airy, NC 27030-3850
Phone (336) 786-7079

Other practice location 2

140 Christiansburg Pike NE
Floyd, VA 24091-3742
Phone (540) 745-9290

Other practice location 3

180 Ferrum Mountain Rd
Ferrum, VA 24088-2939
Phone (540) 365-4469

Other identifiers 1

IdentifierTypeStateIssuer
6102321MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BBRINTLE195450@DIRECT.NOVANTHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231218003628 NC Practitioner - Mental Health Counselor 6406205392
I20241211000011 VA Practitioner - Mental Health Counselor 6406205392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Area Community HealthGroup PAC ID 6204748296, 36 clinicians

Practice addresses (Care Compare)

14558 Danville Pike
Laurel Fork, VA 24352-3982
Phone (276) 398-2292

PO Box
Suite 9
Laurel Fork, VA 24352

PO Box
Suite 9
Laurel Fork, VA 24352-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4307NCMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Area Community Health CurrentSince Jan 6, 2025 Accepting new patients
Tri Area Community Health CurrentSince Jan 6, 2025 Accepting new patients

Locations

180 Ferrum Mountain Rd
Ferrum, VA 24088
Phone (540) 365-4469

140 Christiansburg Pike NE
Floyd, VA 24091
Phone (540) 745-9290

14558 Danville Pike
#9
Laurel Fork, VA 24352
Phone (540) 398-2292

14558 Danville Pike
Laurel Fork, VA 24352
Phone (276) 398-1200

Interoperability endpoints

  • Direct secure messaging: bbrintle195450@direct.novanthealth.org

Organizations & group practices 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1417010356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FAIRLAKE LN",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14558 DANVILLE PIKE",
            "city": "LAUREL FORK",
            "state": "VA",
            "postal_code": "243523982",
            "telephone_number": "276-398-2292",
            "fax_number": "276-398-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270303850",
            "country_code": "US",
            "telephone_number": "336-786-7079",
            "fax_number": "336-786-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Christiansburg Pike NE",
            "address_purpose": "LOCATION",
            "city": "FLOYD",
            "state": "VA",
            "postal_code": "240913742",
            "country_code": "US",
            "telephone_number": "540-745-9290",
            "fax_number": "276-398-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 FERRUM MOUNTAIN RD",
            "address_purpose": "LOCATION",
            "city": "FERRUM",
            "state": "VA",
            "postal_code": "240882939",
            "country_code": "US",
            "telephone_number": "540-365-4469",
            "fax_number": "276-398-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINTLE",
        "first_name": "BETHANY",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005133",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4307",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102321",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BBRINTLE195450@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "351 Riverside Dr",
            "city": "Mount Airy",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270303850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel Fork, VA

Sources for this page

Verify at the official NPI Registry.