Bethany Marie Ty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13361 Issued in CT

Practice address

77 Bystrek Dr
Middletown, CT 06457-8706

Phone

(203) 500-8445

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ambitions Counseling Services, LLCGroup PAC ID 7416494489, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ambitions Counseling Services, LLC

  • Mental Health Counselor
  • Wallingford, CT
  • NPI 1124808878
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1881409522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BYSTREK DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578706",
            "telephone_number": "203-500-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BYSTREK DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578706",
            "telephone_number": "203-500-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TY",
        "first_name": "BETHANY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethany@ambitionscounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "77 Bystrek Dr",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064578706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kuang-Wen Tsao, M.D.
• Richard K. Tsukada, LCSW
• Jacqueline Yvette Tucker, ECID
• Christina Tufts
• Ariana Turi, LPC, ATR
• Kimberly Tynik, PHARM D
• Susan Rebecca Uber
• James Robert Ulager, M.D.
• Unison Health Services, Inc.
• Christina Vasiuki Urbano, DPM

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.