Individual provider Active NPI

Bethanie Wenke

  • Clinical Psychologist
  • Langhorne, PA
National Provider Identifier
1609275304
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
41147 Issued in TX
Practice address
2005 Cabot Blvd W
Langhorne, PA 19047-1885
Phone
(267) 587-2300
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 41147 TX
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 41147 TX Primary

Addresses

Primary practice location

2005 Cabot Blvd W
Langhorne, PA 19047-1885

Mailing address

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 789-7560

Other practice location 1

2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone (713) 912-4299

Other practice location 2

19 Meadowood Drive
Langhorne, PA 19047
Phone (215) 750-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260515000127 TX Practitioner - Clinical Psychologist 8527414457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2450 Fondren Rd
Suite 312
Houston, TX 77063-2316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penndel Mental Health Center, Inc. Past Accepting new patients
Penndel Mental Health Center Past 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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1609275304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560",
            "fax_number": "713-789-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD W",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471885",
            "telephone_number": "267-587-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Fondren Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770632323",
            "country_code": "US",
            "telephone_number": "713-912-4299",
            "fax_number": "713-789-7351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Meadowood Drive",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "19047",
            "country_code": "US",
            "telephone_number": "215-750-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENKE",
        "first_name": "BETHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "41147",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "41147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.