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BETHANY ROSE ANN PETRONELLA LPC
NPI 1003354705
Counselor - Professional in Sandy Springs, GA

Active since February 02, 2017PECOS Enrolled
1303 HIGHTOWER TRL, 230, SANDY SPRINGS, GA 30350(678) 395-7922(678) 954-6589 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bethany Rose Ann Petronella Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY ROSE ANN PETRONELLA LPC (NPI 1003354705) is an individual professional provider in Sandy Springs, Georgia, licensed in Georgia (LPC009119) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003354705
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY ROSE ANN PETRONELLACredential: LPC
Location Address1303 HIGHTOWER TRL, 230Sandy Springs, GA 30350-2962
Mailing Address1303 Hightower Trl, 230Sandy Springs, GA 30350-2962 · (678) 395-7922 · Fax (678) 954-6589
Phone(678) 395-7922
Fax(678) 954-6589
Sole ProprietorYes
Enumeration DateFebruary 2, 2017
✔ NPI 1003354705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC009119
1303 HIGHTOWER TRL, Sandy Springs, GA 30350
Open in Google Maps ↗

Other Names 1

Professional Name (2)Bethany Rose Ann Kinzel Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Rose Ann Petronella Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Bethany Rose Petronella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
618 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARITY SIMPSON NCC, LAPC
Counselor (Professional)
1303 HIGHTOWER TRL, SUITE 230
SANDY SPRINGS, GA 30350
Fulton County (678) 395-7922
CENTERWELL CERTIFIED HEALTHCARE CORP.
Home Health
1303 HIGHTOWER TRL, SUITE 105
ATLANTA, GA 30350
Fulton County (770) 998-1393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Rose Petronella's NPI number?

The NPI number for Bethany Rose Petronella is 1003354705. It was assigned to this individual provider in the NPPES registry on February 2, 2017. The provider is also known as Bethany Rose Ann Kinzel Lpc.

Where is Bethany Rose Petronella located?

Bethany Rose Petronella practices at 1303 Hightower Trl 230, Sandy Springs, GA 30350. The listed phone number is (678) 395-7922.

What is Bethany Rose Petronella's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bethany Rose Petronella enrolled in Medicare?

Yes. Bethany Rose Petronella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Rose Petronella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Rose Petronella reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Rose Petronella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Rose Petronella accept?

Health plans from Oscar Health and UnitedHealthcare list Bethany Rose Petronella as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Rose Petronella was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.