Mildred Janet Betancourt, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

37712 Issued in TX

Practice address

2215 Oryx LN
Grand Prairie, TX 75052-8806

Phone

(972) 399-9688

NPI assigned

Apr 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Faithful Therapy TX CorporationGroup PAC ID 0446778328, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Faithful Therapy TX Corporation

  • Counseling Psychologist
  • Fate, TX
  • NPI 1811706716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524873600000",
    "number": "1669960233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ORYX LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528806",
            "telephone_number": "972-399-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 ORYX LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528806",
            "telephone_number": "972-399-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "MILDRED",
        "middle_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "37712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benx LLC
• Selamawit Berhane, PHARM D
• Jessie Sales Bernabe, ACNP-BC
• Gerika Erione Berry, OTR/L
• Egle Emilija Berzinskas, M.D.
• Beth a. Taylor
• Bethview Home Healthcare LLC
• Better Group Home Incorporated
• Betterlife HCS LLC
• Sereena Bexley, MS, CCC-SLP

• Counseling Psychologist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2018; 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.

Verify at the official NPI Registry.