Betsy Gholson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80997 Issued in TX

Practice address

650 Scarbourough
Canyon Lake, TX 78133-4529

Phone

(830) 964-4390

NPI assigned

Nov 9, 2020

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taral Sharma MD PCGroup PAC ID 0244568152, 27 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Taral Sharma MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, SC
  • NPI 1477112597
  Medicare reassignment Care Compare group NPD
• Lutheran Social Services of the South, Inc.

  dba New Life Children's Treatment Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Canyon Lake, TX
  • NPI 1538203484
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1427650159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 HAWK EYE DR",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781632255",
            "telephone_number": "210-789-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SCARBOUROUGH",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781334529",
            "telephone_number": "830-964-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "BETSY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Renee Fonner
• Forest Creek Counseling LLC
• Justin H Fuhler, IDMT
• Barbara Gadient
• Kristi D Garza
• Clinton R Gholson, LPC
• Sabrina Lynn Gonzalez
• Brooke Goodman, RN
• Howard Ivan Haecker, D.D.S.
• Alyssa Hanson, N.P.

• Professional Counselor in Canyon Lake, TX
• Providers in Canyon Lake, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.