Individual provider Active NPI

Bethelhem Bekele, RN, BSN, MSN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1457950610
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024188749 Issued in VA
Practice address
200 N Glebe Rd Ste 104
Arlington, VA 22203-3755
Phone
(703) 841-0703
NPI assigned
Oct 20, 2020
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188749 VA Primary
Registered Nurse 163W00000X 0001302945 VA

Addresses

Primary practice location

200 N Glebe Rd Ste 104
Arlington, VA 22203-3755

Mailing address

12011 Government Center Pkwy Ste 836
Fairfax, VA 22035-1100
Phone (703) 246-4454

Other practice location 1

10520 Judicial Dr
Fairfax, VA 22030-5115
Phone (703) 246-4454

Other practice location 2

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 559-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL n/a Health Information Exchange (HIE)
Direct Messaging Address bbekele@natcaptreatment.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313000684 DC Practitioner - Nurse Practitioner 1951822436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005

8221 Willow Oaks Corporate Dr
Fairfax Falls Church Community Services Boa
Fairfax, VA 22031-4512
Phone (703) 321-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001302945VAMDRegistered Nurse
0024188749VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia CurrentSince Mar 11, 2025 Accepting new patients
National Capital Treatment and Recovery-Maryland CurrentSince Feb 10, 2025 Accepting new patients
National Capital Treatment and Recovery Psychiatric/Mental Health CurrentSince Feb 10, 2025 Accepting new patients

Locations

200 N Glebe Rd
Ste 104
Arlington, VA 22203
Phone 7038410703 ext. 3340

521 N Quincy St
Arlington, VA 22203

10520 Judicial Dr
Fairfax, VA 22030
Phone (703) 246-2100

12011 Government Center Pkwy
Ste 836
Fairfax, VA 22035
Phone (703) 324-7017

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031
Phone (703) 289-7599

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1457950610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 GOVERNMENT CENTER PKWY STE 836",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220351100",
            "telephone_number": "703-246-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N GLEBE RD STE 104",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222033755",
            "telephone_number": "703-841-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10520 Judicial Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220305115",
            "country_code": "US",
            "telephone_number": "703-246-4454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-559-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKELE",
        "first_name": "BETHELHEM",
        "credential": "RN, BSN, MSN PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188749",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001302945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 N Glebe Rd Ste 104",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222033755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbekele@natcaptreatment.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "200 N Glebe Rd Ste 104",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222033755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.