Betsy L Durham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

35002597A Issued in IN

Practice address

1948 W Boulevard
Kokomo, IN 46902-6078

Phone

(765) 452-5437

Fax

(844) 684-6185

NPI assigned

Oct 25, 2010

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdurham333601@ecommunitydirect.com
• Direct secure messaging: bdurham817973@direct.ochin.org

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.

• Jane Pauley Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1730488818
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1598065690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FULTON ST",
            "address_2": "ATTN: ANNE LAWSON - CREDENTIALING",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471577",
            "telephone_number": "574-205-2600",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-452-5437",
            "fax_number": "844-684-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 N Main St",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469014622",
            "country_code": "US",
            "telephone_number": "765-453-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "BETSY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "35002597A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BDURHAM333601@ECOMMUNITYDIRECT.COM",
            "affiliation": "Y",
            "affiliationName": "Community Howard Regional Health Inc",
            "address_1": "322 N Main St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kaelee Dunn
• Tai Duong, DO
• Jenna Dupont
• Savannah Dupre, RBT
• Tisha Lucille Durbin
• Racheal Durham
• Jennifer Durkes, LMFT
• Michelle M Durm, PA-C
• Steven Shawn Dutton, LMHC;LMFT
• Dycora Transitional Health - Kokomo LLC

• Mental Health Counselor in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.