Katie Bettencourt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8911028 Issued in ID

Practice address

2068 S Eagle Rd
Meridian, ID 83642-6707

Phone

(208) 340-1688

Fax

(208) 887-3660

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monarch Behavioral Health, LLC

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1528492683
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1760111637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-340-1688",
            "fax_number": "208-887-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426707",
            "telephone_number": "208-340-1688",
            "fax_number": "208-887-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "KATIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "8911028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Althea Berry
• Michelle Bese
• Bespoke Body & Wellness
• Joshua Lee Bess II
• Amber Marie Bethke
• Nyla Betts
• Madeline Josephine Betz, NP
• Joshua Beveridge
• BHG Lxxxvii, LLC (BHG Medical Services - Idaho)
• Kelli Gene Bia, LMSW

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.