Active NPI
Bethanie Wenke
- Clinical Psychologist
- Langhorne, PA
National Provider Identifier
1609275304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 41147
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New 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.
-
- Clinical Psychologist
- Houston, TX
- NPI 1730830001
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Langhorne, PA
- NPI 1104096973
-
- Community/Behavioral Health Agency
- Penndel, PA
- NPI 1710019096
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.