Individual provider Active NPI

Bethany Wilson, LPC, BCN

  • Professional Counselor
  • Littleton, CO
National Provider Identifier
1831664150
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0014576 Issued in CO
Practice address
1221 W Mineral Ave Ste 100
Littleton, CO 80120-4544
Phone
(303) 775-3684
NPI assigned
Oct 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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 LPC.0014576 CO Primary

Addresses

Primary practice location

1221 W Mineral Ave Ste 100
Littleton, CO 80120-4544

Mailing address

1221 W Mineral Ave Ste 100
Littleton, CO 80120-4544
Phone (303) 775-3684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0014576COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Hope Counseling and Neurofeedback, PLLC CurrentSince Apr 9, 2020 Accepting new patients
Joyful Soul Counseling PLLC Professional PastSince Dec 1, 2022 Accepting new patients

Locations

6901 S Pierce St
Ste 370
Littleton, CO 80128
Phone (303) 775-3684

1221 W Mineral Ave
Ste 100
Littleton, CO 80120
Phone (303) 775-3684

7921 Southpark Plz
Ste 204
Littleton, CO 80120
Phone (303) 775-3684

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1831664150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204544",
            "telephone_number": "303-775-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W MINERAL AVE STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204544",
            "telephone_number": "303-775-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BETHANY",
        "credential": "LPC, BCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0014576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.