Bethany Lanis Zelada, MA LADC LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3320 Issued in MN

Practice address

611 Bielenberg Dr Ste 109
Woodbury, MN 55125-1431

Phone

(651) 764-7023

Fax

(651) 666-1612

NPI assigned

May 11, 2022

Last updated

Jul 24, 2025By the provider in NPPES

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

Opted out of Medicare

Yes, effective Jun 11, 2026 through Jun 11, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• White Oak Psychotherapy, LTD

  • Adult Mental Health Clinic/Center
  • Woodbury, MN
  • NPI 1669299426
  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1780320804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-764-7023",
            "fax_number": "651-666-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BIELENBERG DR STE 109",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251431",
            "telephone_number": "651-764-7023",
            "fax_number": "651-666-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIS ZELADA",
        "first_name": "BETHANY",
        "credential": "MA LADC LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305608",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "3320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Landeen, MD
• Madeline Landry
• Jennifer C Lane, D.O.
• Ashley Ann Lange
• Carrie L Langer, MPT, ATR, PRC
• Madison Lannom, MD
• Dan Larsen, ATR, PTA, CSCS
• Alison A Larson
• Corey M Larson, PT, DPT, ATC, CSCS
• Eric Thomas Larson, CRNA

• Professional Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.