Individual provider Active NPI

Bethany Aleece Gibson Payton, LPCC

  • Professional Counselor
  • Elizabethtown, KY
National Provider Identifier
1891137717
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
168175 Issued in KY
Practice address
1311 N Dixie Hwy
Elizabethtown, KY 42701-2621
Phone
(270) 769-1304
Fax
(270) 234-8028
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X 168175 KY Primary

Addresses

Primary practice location

1311 N Dixie Hwy
Elizabethtown, KY 42701-2621

Mailing address

151 Drexler Cir
Ste 1
Elizabethtown, KY 42701-7843
Phone (270) 795-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240321003728 KY Practitioner - Mental Health Counselor 5698112977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

2000 Ring Rd
Elizabethtown, KY 42701-9454
Phone (270) 506-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

151 Drexler Cir
#1
Elizabethtown, KY 42701
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone 2703214480 ext. 306

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1891137717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR",
            "address_2": "STE 1",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843",
            "telephone_number": "270-795-2605",
            "fax_number": "270-234-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N DIXIE HWY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012621",
            "telephone_number": "270-769-1304",
            "fax_number": "270-234-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "BETHANY",
        "middle_name": "ALEECE GIBSON",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "168175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.