Individual provider Active NPI

Bethany Porter, LCPC, LPC, LMHC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1689798779
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005093 Issued in VA
Practice address
6720 Patterson Ave Ste C
Richmond, VA 23226-3434
Phone
(301) 537-8846
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 093646 IA
Professional Counselor 101YP2500X LC2095 MD
Professional Counselor 101YP2500X 0701005093 VA Primary

Addresses

Primary practice location

6720 Patterson Ave Ste C
Richmond, VA 23226-3434

Mailing address

8616 Choctaw Rd
North Chesterfield, VA 23235-2428
Phone (301) 537-8846

Other practice location 1

7305 Baltimore Ave Ste 207
College Park, MD 20740-3232
Phone (301) 537-8846

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

LicenseStateTypeSpecialty
093646IAMDProfessional Counselor
LC2095MDMDProfessional Counselor
0701005093VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections LLC Professional CurrentSince Jun 23, 2024 Accepting new patients

Locations

7305 Baltimore Ave
Ste 207
College Park, MD 20740
Phone (301) 537-8846

6720 Patterson Ave
Ste C
Richmond, VA 23226
Phone (301) 537-8846

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1689798779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8616 CHOCTAW RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352428",
            "telephone_number": "301-537-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 PATTERSON AVE STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263434",
            "telephone_number": "301-537-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7305 Baltimore Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "MD",
            "postal_code": "207403232",
            "country_code": "US",
            "telephone_number": "301-537-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "BETHANY",
        "credential": "LCPC, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "093646",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2095",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.