Individual provider Active NPI

Bethany Rose Ghattas

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1417547639
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2103737 Issued in OH
Practice address
3681 Green Rd Ste 404
Beachwood, OH 44122-5716
Phone
(216) 342-5484
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X E.2404668 OH
Mental Health Counselor 101YM0800X C.2103737 OH Primary

Addresses

Primary practice location

3681 Green Rd Ste 404
Beachwood, OH 44122-5716

Mailing address

2459 Summit Rd
Kent, OH 44240-7131
Phone (303) 812-2696

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

LicenseStateTypeSpecialty
C.2103737OHMDMental Health Counselor
E.2404668OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hillary Schultz Therapy Addiction (Substance Use Disorder) CurrentSince Sep 8, 2024 Accepting new patients
Navigate Counseling and Consultation Services Mental Health PastSince Jul 1, 2022 Accepting new patients

Locations

3681 Green Rd
Ste 404
Shaker Heights, OH 44122
Phone (216) 342-5484

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1417547639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 SUMMIT RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442407131",
            "telephone_number": "303-812-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-342-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATTAS",
        "first_name": "BETHANY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404668",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.