Alysia Anne Betres, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007348 Issued in PA

Practice address

C11 Forest HTS
Butler, PA 16001-3983

Phone

(252) 202-8857

NPI assigned

Jan 23, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1881017176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C11 FOREST HTS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160013983",
            "telephone_number": "252-202-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C11 FOREST HTS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160013983",
            "telephone_number": "252-202-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETRES",
        "first_name": "ALYSIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "PC007348",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881017176",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Butler, PA
• Providers in Butler, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.