Individual provider Active NPI

Bethany Wodzenski, MA CMHC

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1679423669
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
231 Bentonville LN
Douglasville, GA 30134-6301
Phone
(770) 686-0894
Fax
(877) 660-8884
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X GA Primary

Addresses

Primary practice location

231 Bentonville LN
Douglasville, GA 30134-6301

Mailing address

231 Bentonville LN
Douglasville, GA 30134-6301
Phone (770) 686-0894

Other names 1

  • Beth Wodzenski Professional name

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Human Services, Inc. Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1679423669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BENTONVILLE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346301",
            "telephone_number": "770-686-0894",
            "fax_number": "877-660-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BENTONVILLE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346301",
            "telephone_number": "770-686-0894",
            "fax_number": "877-660-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODZENSKI",
        "first_name": "BETHANY",
        "credential": "MA CMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "WODZENSKI",
            "credential": "NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.