Active NPI
Bethany Pfitzenmaier, LCAS
- Addiction (Substance Use Disorder) Counselor
- Raleigh, NC
National Provider Identifier
1659756781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1941
- Practice address
- 2101 Garner Rd
Raleigh, NC 27610-0114 - Phone
- (919) 834-1400
- NPI assigned
- Jul 30, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1941 | NC | Primary |
Addresses
Primary practice location
2101 Garner Rd
Raleigh, NC 27610-0114
Mailing address
7205 Cedric Dr
Raleigh, NC 27603-5215
Phone (984) 222-5572
Other practice location 1
116 Health Dr
Greenville, NC 27834-7704
Phone (252) 413-1951 ext. 2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1941 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlight Healthcare | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1316268345
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659756781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 CEDRIC DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276035215",
"telephone_number": "984-222-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 GARNER RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276100114",
"telephone_number": "919-834-1400"
}
],
"practiceLocations": [
{
"address_1": "116 Health Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278347704",
"country_code": "US",
"telephone_number": "252-413-1951 x2107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFITZENMAIER",
"first_name": "BETHANY",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.