Individual provider Active NPI

Bethany A Hagopian, LCMHC, NCC, MS

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1881267284
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16668 Issued in NC
Practice address
300 S Westgate Dr
Greensboro, NC 27407-1669
Phone
(336) 907-7308
Fax
(336) 907-7309
NPI assigned
Jul 22, 2021
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 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 16668 NC Primary

Addresses

Primary practice location

300 S Westgate Dr
Greensboro, NC 27407-1669

Mailing address

300 S Westgate Dr
Greensboro, NC 27407-1669
Phone (336) 907-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240410001183 NC Practitioner - Mental Health Counselor 4789022773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Therapeutic Care LLCGroup PAC ID 1759648470, 5 clinicians

Practice addresses (Care Compare)

114 S Westgate Dr
Suite E
Greensboro, NC 27407-1686
Phone (336) 907-7308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

State licenses

LicenseStateTypeSpecialty
16668NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Therapeutic Care LLC Mental Health CurrentSince Feb 27, 2024 Accepting new patients

Locations

114 S Westgate Dr
Ste E
Greensboro, NC 27407
Phone (336) 907-7308

300 S Westgate Dr
Ste A
Greensboro, NC 27407
Phone (336) 907-7308

Organizations & group practices 1

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1881267284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S WESTGATE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071669",
            "telephone_number": "336-907-7308",
            "fax_number": "336-907-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WESTGATE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071669",
            "telephone_number": "336-907-7308",
            "fax_number": "336-907-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOPIAN",
        "first_name": "BETHANY",
        "middle_name": "A",
        "credential": "LCMHC, NCC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "16668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.