Individual provider Active NPI

Beniam Aster Megabi Awoke Betsiha

  • Professional Counselor
  • Garland, TX
National Provider Identifier
1881438901
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90504 Issued in TX
Practice address
2213 Windy Dr
Garland, TX 75044-7553
Phone
(903) 900-0023
NPI assigned
Jun 24, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1725464 NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 16532 TX
Mental Health Counselor 101YM0800X 90504 TX
Professional Counselor 101YP2500X 90504 TX Primary
Rehabilitation Counselor 225C00000X 477427 NU

Addresses

Primary practice location

2213 Windy Dr
Garland, TX 75044-7553

Mailing address

2346 Belt Line Rd # 451011
Garland, TX 75044-7106
Phone (903) 900-0023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90504TXMDProfessional Counselor
16532TXMDChiropractor

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1881438901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 BELT LINE RD # 451011",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447106",
            "telephone_number": "903-900-0023",
            "fax_number": "866-477-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 WINDY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447553",
            "telephone_number": "903-900-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSIHA",
        "first_name": "BENIAM",
        "middle_name": "ASTER MEGABI AWOKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": "1725464",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16532",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90504",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90504",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": "477427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.