MRS. BETHANY LANAE' COOPER PSYD
NPI 1033752894
Psychologist - Clinical Child & Adolescent in Dayton, OH

Active since October 24, 2019PECOS EnrolledAccepts Medicare Assignment
9 N EDWIN C MOSES BLVD, DAYTON, OH 45402(937) 775-4300 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2026, Dec 9, 2020, Oct 24, 2019 (3 updates tracked since 2019).

About Mrs. Bethany Lanae' Cooper Psyd NPPES

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

MRS. BETHANY LANAE' COOPER PSYD (NPI 1033752894) is an individual clinical child & adolescent provider in Dayton, Ohio, licensed in Ohio (P.08782) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033752894
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameMRS. BETHANY LANAE' COOPERCredential: PSYD
Location Address9 N EDWIN C MOSES BLVDDayton, OH 45402-8470
Mailing AddressPo Box 933421Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 24, 2019
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1033752894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in OH · P.08782
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License P.08782 (OH)
9 N EDWIN C MOSES BLVD, Dayton, OH 45402

Other Names 1

Former Name (1)Ms. Bethany Lanae' Carrier

Secondary Practice Locations 8

Location 15501 Far Hills Ave Ste 200Dayton, OH 45429-2203 · Phone (937) 436-2866 · Fax (937) 436-1468
Location 29000 N Main St Ste 332Englewood, OH 45415-1185 · Phone (937) 832-7337 · Fax (937) 832-4817
Location 31640 N Limestone StSpringfield, OH 45503-2652 · Phone (937) 328-2320 · Fax (937) 328-2349
Location 41010 Valley StDayton, OH 45404-2070 · Phone (937) 641-3401 · Fax (937) 641-3046
Location 53333 W Tech Rd Ste 220Miamisburg, OH 45342-0956 · Phone (937) 748-6116 · Fax (937) 291-6956
Location 61425 N Fairfield Rd Ste 130Beavercreek, OH 45432-2674 · Phone (937) 320-1950 · Fax (937) 320-9332
Location 7204 Patrick AveUrbana, OH 43078-2302 · Phone (937) 484-6157 · Fax (937) 484-6181
Location 81 Childrens PlzDayton, OH 45404-1815 · Phone (937) 641-3401 · Fax (937) 641-3046

Other Identifiers 1

Medicaid0138490OH

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Bethany Cooper is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bethany Cooper is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911414222

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250730001570

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MRS. BETHANY LANAE' COOPER PSYD

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychologist (Clinical)
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Psychologist
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Psychologist (Clinical)
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Psychologist
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Student in an Organized Health Care Education/Training Program
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Counselor (Mental Health)
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Psychologist (Family)
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Student in an Organized Health Care Education/Training Program
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Case Manager/Care Coordinator
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402
Durable Medical Equipment & Medical Supplies
9 N EDWIN C MOSES BLVD
DAYTON, OH 45402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033752894, enumerated as an "individual" on October 24, 2019.

The provider is located at 9 N EDWIN C MOSES BLVD DAYTON, OH 45402 and the phone number is (937) 775-4300.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.

The provider might be accepting Accepts: CareSource, Oscar Health Insurance, Oscar. Please consult your insurance carrier or call the provider to verify.