Active NPI
Bethany Renee Henry, LPC
- Professional Counselor
- Bellefontaine, OH
National Provider Identifier
1477026672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6512644
- Practice address
- 212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033 - Phone
- (937) 599-1411
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.1801409-TRNE | OH | |
| Professional Counselor | 101YP2500X | 6512644 | OH | Primary |
Addresses
Primary practice location
212 E Columbus Ave Ste 1
Bellefontaine, OH 43311-2033
Mailing address
212 E Columbus Ave
Bellefontaine, OH 43311-2033
Phone (937) 599-1411
Other practice location 1
1521 N Detroit St.
West Liberty, OH 43357
Phone (937) 465-8065
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 |
|---|---|---|---|
| C.1801409-TRNE | OH | MD | Counselor |
| 6512644 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health & Wellness Partners of Logan County | Past | Accepting new patients | |
| Community Health & Wellness Partners of Logan County | Past | Accepting new patients | |
| Pathology Laboratories, Inc. | Past | Accepting new patients | |
| Community Health & Wellness Partners of Logan County | Past | Accepting new patients | |
| Community Health & Wellness Partners of Logan County | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Student Health Clinic/Center
- West Liberty, OH
- NPI 1083215875
-
- Federally Qualified Health Center (FQHC)
- De Graff, OH
- NPI 1447965058
-
- Federally Qualified Health Center (FQHC)
- Russells Point, OH
- NPI 1962828293
-
- Community Health Clinic/Center
- Bellefontaine, OH
- NPI 1982360533
-
- Clinical Medical Laboratory
- Toledo, OH
- NPI 1346285988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1477026672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E COLUMBUS AVE",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112033",
"telephone_number": "937-599-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E COLUMBUS AVE STE 1",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112033",
"telephone_number": "937-599-1411"
}
],
"practiceLocations": [
{
"address_1": "1521 N Detroit St.",
"address_purpose": "LOCATION",
"city": "West Liberty",
"state": "OH",
"postal_code": "43357",
"country_code": "US",
"telephone_number": "937-465-8065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "BETHANY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.1801409-TRNE",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "6512644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.