Bethesda Behavioral Health Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BETHESDA BEHAVIORAL HEALTH SERVICES LLC

Practice address

1337 W 73Rd St
Chicago, IL 60636-4101

Phone

(773) 817-1168

NPI assigned

Oct 6, 2020

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Lucy Thompson, EDDNPI 1134576523

Title

Ceo

Phone

(773) 817-1168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Thompson, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1134576523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1871190512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 W 73RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364101",
            "telephone_number": "773-817-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 W 73RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364101",
            "telephone_number": "773-817-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LUCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-817-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Homes and Methodist Hospital (Methodist Hospital of Chicago)
• Bethany Homes and Methodist Hospital (Methodist Hospital of Chicago)
• Bethany Hosp Outpatient Pharmacy
• Cecilia Honet Bethe, PHD
• Timeica E Bethel
• Kevin Bethke, M.D.
• Heather Bethune, DOULA
• Thomas Betlej, MD
• Jeffrey J. Betman, D.P.M.
• Samantha Danielle Betman, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.