Bethany Moulton, MS, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

46972 Bartlett Dr
Canton, MI 48187-1409

Phone

(734) 709-8422

NPI assigned

Jul 25, 2018

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Interoperability endpoints

• Direct secure messaging: bethany.moulton.1@28621.direct.athenahealth.com

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1801373568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46972 BARTLETT DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871409",
            "telephone_number": "734-709-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46972 BARTLETT DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871409",
            "telephone_number": "734-709-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "BETHANY",
        "credential": "MS, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Morris
• Wanda Morrison
• Amy E Morrow, M.D.
• Mortiere and Gasparotto DDS PC
• Paul Jacob Mortiere, D.D.S.
• Melina Jeanne Moustakeas
• Colleen Elizabeth Curran Moynahan, FNP-BC
• Rida Wissam Mroue, PHARMD
• Christian Mudry
• Elizabeth Muli

• Professional Counselor in Canton, MI
• Providers in Canton, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.