Bethany Chime, LPCC-S
Individual provider Active NPI Professional Counselor · Norwalk, OH
NPI 1629337290 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1629337290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.1000463-SUPV (OH)
- Practice address
- 4 E Seminary St
Norwalk, OH 44857-2121 - Phone
- (567) 424-6003
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clear Minds Coaching and Counseling LLC
Practice addresses (Care Compare)
4 E Seminary Sreet
Norwalk, OH 44857-2121
4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228003488 | OH | Practitioner - Mental Health Counselor | 3476956160 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1000463-SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Minds Coaching & Counseling, LLC | Mental Health | Current |
Accepting new patients |
| Clear Minds Coaching & Counseling, LLC | Mental Health | Current |
Accepting new patients |
Locations
4 E Seminary St
Norwalk, OH 44857
Phone (567) 424-6003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1000463-SUPV | OH | Yes |
| Mental Health Counselor | 101YM0800X | E.1000463-SUPV | OH |
Addresses
Primary practice location
4 E Seminary St
Norwalk, OH 44857-2121
Mailing address
4 E Seminary St
Norwalk, OH 44857-2121
Phone (567) 424-6003
Other providers in Norwalk, OH
- Stephanie Carte
- Julie Cashen
- Yilan L Chang
- Nicki Chavarria
- Aditya Chhibber
- John Chime
- Amanda L. Christofferson
- Ryan D Christofferson
- Abigail Christine Chudzinski
- Juliana M Clark
All providers in Norwalk, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.