Individual provider Active NPI

Beth Ann Andes, PCC

  • Professional Counselor
  • Saint Clairsville, OH
National Provider Identifier
1932218997
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0003693 Issued in OH
Practice address
47863 Reservoir Rd
Saint Clairsville, OH 43950-8479
Phone
(740) 695-3630
Fax
(740) 695-3631
NPI assigned
Aug 30, 2006
Last updated
Apr 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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 E0003693 OH Primary

Addresses

Primary practice location

47863 Reservoir Rd
Saint Clairsville, OH 43950-8479

Mailing address

47863 Reservoir Rd
Saint Clairsville, OH 43950-8479
Phone (740) 695-3630

Other identifiers 6

IdentifierTypeStateIssuer
7205001OtherAETNA
Y570312AOtherOHHEALTH PLAN OF THE UPPER
001713054OtherWVMOUNTAIN STATE BCBS
278713000OtherOHMAGELLAN HEALTH SERVICES
469571OtherVALUE OPTIONS
418532OtherPACOMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E0003693OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Saner Lisw LLC PastSince Jan 1, 2019 Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1932218997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47863 RESERVOIR RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508479",
            "telephone_number": "740-695-3630",
            "fax_number": "740-695-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47863 RESERVOIR RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508479",
            "telephone_number": "740-695-3630",
            "fax_number": "740-695-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDES",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0003693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7205001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF THE UPPER",
            "identifier": "Y570312A",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001713054",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "278713000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "469571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE BEHAVIORAL HEALTH ORGANIZATION",
            "identifier": "418532",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.