Individual provider Active NPI

Bethany R Rife, LPC

  • Professional Counselor
  • Abingdon, VA
National Provider Identifier
1790492445
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011853 Issued in VA
Practice address
155 Valley Street Ext NE Ste 102
Abingdon, VA 24210-2855
Phone
(646) 941-7645
Fax
(929) 596-7897
NPI assigned
Nov 2, 2022
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011853 VA Primary

Addresses

Primary practice location

155 Valley Street Ext NE Ste 102
Abingdon, VA 24210-2855

Mailing address

610 Campus Dr
Abingdon, VA 24210-2589
Phone (276) 525-1550

Other practice location 1

155 Valley St NE
Abingdon, VA 24210
Phone (276) 298-5034

Other practice location 2

303 Wiley St NW
Abingdon, VA 24210-2735
Phone (276) 298-5034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106002827 VA Practitioner - Mental Health Counselor 3476081399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

Practice addresses (Care Compare)

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Premier Healthcare LLC CurrentSince Nov 1, 2024 Accepting new patients
Anchoring Hope Counseling, PLLC Professional Past Accepting new patients

Locations

155 Valley Street Ext NE
Ste 102
Abingdon, VA 24210

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1790492445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1550",
            "fax_number": "276-525-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 VALLEY STREET EXT NE STE 102",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102855",
            "telephone_number": "646-941-7645",
            "fax_number": "929-596-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Valley St NE",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "24210",
            "country_code": "US",
            "telephone_number": "276-298-5034",
            "fax_number": "276-213-3014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Wiley St NW",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242102735",
            "country_code": "US",
            "telephone_number": "276-298-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIFE",
        "first_name": "BETHANY",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.