Individual provider Active NPI

Avery Elizabeth Bell, LCPC

  • Professional Counselor
  • Tetonia, ID
National Provider Identifier
1528776770
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
9620 Mountain View Dr
Tetonia, ID 83452-4888
Phone
(307) 699-7805
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

9620 Mountain View Dr
Tetonia, ID 83452-4888

Mailing address

9620 Mountain View Dr
Tetonia, ID 83452-4888
Phone (307) 699-7805

Other names 1

  • Avery Elizabeth Bedford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250211001211 WY Practitioner - Mental Health Counselor 6901336692 Reassigns benefits to 1 organization
I20260625000732 ID Practitioner - Mental Health Counselor 6901336692 Practice locations: Tetonia, ID

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

Tetonia, ID 83452
Phone (307) 699-7805

555 E Broadway Ave
Suite 201
Jackson, WY 83001-8640
Phone (307) 733-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teton County Hospital District CurrentSince Dec 15, 2024 Accepting new patients
TBT, LLC PastSince Nov 1, 2022 Accepting new patients
Lupine Mental Health and Integrative Psychiatry LLC PastSince Nov 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1528776770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 MOUNTAIN VIEW DR",
            "city": "TETONIA",
            "state": "ID",
            "postal_code": "834524888",
            "telephone_number": "307-699-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 MOUNTAIN VIEW DR",
            "city": "TETONIA",
            "state": "ID",
            "postal_code": "834524888",
            "telephone_number": "307-699-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "AVERY",
        "middle_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "BEDFORD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tetonia, ID

Sources for this page

Verify at the official NPI Registry.