Active NPI
Bethany Ann Caldwell, MSCP, LPC, CBIS
- Professional Counselor
- Murrysville, PA
National Provider Identifier
1467846626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC005326
- Practice address
- 4431 William Penn Hwy Ste 5
Murrysville, PA 15668-1946 - Phone
- (470) 223-2256
- NPI assigned
- Mar 26, 2015
- Last updated
- Nov 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | PC005326 | PA | |
| Professional Counselor | 101YP2500X | PC005326 | PA | Primary |
Addresses
Primary practice location
4431 William Penn Hwy Ste 5
Murrysville, PA 15668-1946
Mailing address
632 McKee Rd
White Oak, PA 15131-2527
Phone (470) 223-2256
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 |
|---|---|---|---|
| PC005326 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1467846626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 MCKEE RD",
"city": "WHITE OAK",
"state": "PA",
"postal_code": "151312527",
"telephone_number": "470-223-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4431 WILLIAM PENN HWY STE 5",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681946",
"telephone_number": "470-223-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "BETHANY",
"middle_name": "ANN",
"credential": "MSCP, LPC, CBIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "PC005326",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.