MRS. BETHANY PEARL BRINTLE LPC NPI 1417010356

NPI Information

  • NPI: 1417010356
  • Provider Name: MRS. BETHANY PEARL BRINTLE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14558 DANVILLE PIKE
    LAUREL FORK, VA
    ZIP 24352
  • Phone: (276) 398-2292

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NPI Details

MRS. Bethany Pearl Brintle, LPC is a professional counselor in Laurel Fork, VA with 31 years of experience. MRS. Bethany Pearl Brintle, LPC NPI is 1417010356. 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:

14558 DANVILLE PIKE
LAUREL FORK, VA
ZIP 24352-982
Phone: (276) 398-2292
Fax: (276) 398-3331

The NPI 1417010356 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 12/19/2006 and was last updated on 11/11/2025.

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
1101YP2500XCounselorProfessional0701005133VIRGINIAYes
2101YM0800XCounselorMental Health4307NORTH CAROLINANo
3101YP2500XCounselorProfessional4307NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16102321MEDICAIDNORTH CAROLINA

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: 11/21/2025

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