BETHANY JOHNSON LCPC LADC CCS NPI 1568865673

NPI Information

NPI: 1568865673
Provider Name: BETHANY JOHNSON, LCPC, LADC, CCS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
342 NORTH ST APT 606
SACO, ME
ZIP 04072
Phone: (072) 812-4602
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Bethany Johnson, LCPC, LADC, CCS is a mental health counselor in Saco, ME. Bethany Johnson, LCPC, LADC, CCS NPI is 1568865673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

342 NORTH ST APT 606
SACO, ME
ZIP 04072-857
Phone: (072) 812-4602

The NPI 1568865673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/2/2014 and was last updated on 10/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC5947	MAINE	No
2	101YM0800X	Counselor	Mental Health	CC5612	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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