Bethany Lynn Harper, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003552A Issued in IN

Practice address

333 E Lewis St
Fort Wayne, IN 46802-3139

Phone

(260) 426-3347

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Lynn Degrandchamp Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lutheran Social Services of Indiana Inc.

  • Counselor
  • Fort Wayne, IN
  • NPI 1861636136

  IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1982248837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E LEWIS ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023139",
            "telephone_number": "260-426-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E LEWIS ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468023139",
            "telephone_number": "260-426-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003552A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdegrandchamp@lssin.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Lutheran Social Services, Incorporated",
            "address_1": "333 E Lewis St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468023139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "DEGRANDCHAMP",
            "middle_name": "LYNN",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harmony Within LLC
• Rachel Dawn Harmsen
• Jessica A Harner
• Kelsey A Harner, FNP-C
• Allison York Harper
• Casey M Harper, PT
• Cassander Harps
• Payton Harrah
• Mary Harrington
• Abigail M Harris

• All providers in Fort Wayne, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.