Bethany Counseling Center LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2007028607 Issued in MO

Legal business name

BETHANY COUNSELING CENTER LLC

Practice address

4118 Miller St
Bethany, MO 64424

Phone

(660) 425-6151

Fax

(660) 425-6191

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Debbie K Duley

Title

Office Manager

Phone

(660) 425-6151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Sue Butler, LCSW

  • Clinical Social Worker
  • Bethany, MO
  • NPI 1376739946
  Medicare reassignment NPD

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1912235706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "64424",
            "telephone_number": "660-425-6151",
            "fax_number": "660-425-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "64424",
            "telephone_number": "660-425-6151",
            "fax_number": "660-425-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "DULEY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-425-6151"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2007028607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Baker, M.D.
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• Bethany Medical Rural Health Clinic
• Lora C Bloss-Girsch
• Robert P Breen, OPTICIAN
• Bristol Care, Inc.

• Social Worker in Bethany, MO
• Providers in Bethany, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.