Bettencourt Family Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BETTENCOURT FAMILY SERVICES, LLC

Doing business as

Ellie Mental Health Salem

Practice address

2 Manor Pkwy Ste 2
Salem, NH 03079-4871

Phone

(207) 415-9376

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Bettencourt

Title

Owner

Phone

(207) 415-9376

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Salem Doing business as

Locations

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1700579398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAYMUS RDG",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030791607",
            "telephone_number": "207-415-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MANOR PKWY STE 2",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794871",
            "telephone_number": "207-415-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTENCOURT FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "BETTENCOURT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-415-9376"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Marie Berlin, OTR
• Juliette Mazur Bermingham, PSY.D.
• Kara Lyn Berthel
• Karen L Berthel
• Charlene Berube, ARNP
• Jacqueline Beverly, PT
• Caitlin Bevins
• Andrea Elizabeth Bevis, MS ED. LABA, BCBA
• Krimish Bhagat, PA
• Anna Bibla

• Mental Health Counselor in Salem, NH
• Providers in Salem, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.