Organization Active NPI

Intentional Counseling & Wellness, LLC

Doing business as Intentional Counseling & Wellness

  • Mental Health Counselor
  • Bethlehem, PA
National Provider Identifier
1932928702
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTENTIONAL COUNSELING & WELLNESS, LLC
Doing business as
Intentional Counseling & Wellness
Practice address
95 Highland Ave Ste 301
Bethlehem, PA 18017-9435
Phone
(610) 849-0413
Fax
(610) 849-0473
NPI assigned
Oct 8, 2024
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Brandy Bate
Title
Owner/Majority Member
Phone
(610) 849-0413

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

95 Highland Ave Ste 301
Bethlehem, PA 18017-9435

Mailing address

95 Highland Ave Ste 301
Bethlehem, PA 18017-9435
Phone (610) 849-0413

Other names 1

  • Intentional Counseling & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204001908 PA Part B Supplier - Clinic/Group Practice 1759811920 Receives reassigned benefits from 15 practitioners
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

95 Highland Ave
Ste 301
Bethlehem, PA 18017
Phone (610) 625-1577

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1932928702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179435",
            "telephone_number": "610-849-0413",
            "fax_number": "610-849-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179435",
            "telephone_number": "610-849-0413",
            "fax_number": "610-849-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "BATE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OWNER/MAJORITY MEMBER",
        "authorized_official_telephone_number": "610-849-0413"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intentional Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intentional Counseling & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.