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BETHANY CECELIA MERRETT MS, LPC, NCC
NPI 1164040713
Counselor - Professional in Decatur, GA

Active since July 09, 2020Opted out of Medicare · through Jun 12, 2028
223 KATHRYN AVE, DECATUR, GA 30030(770) 856-1232 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Bethany Cecelia Merrett Ms, Lpc, Ncc NPPES

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

BETHANY CECELIA MERRETT MS, LPC, NCC (NPI 1164040713) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC011313) and active in the NPI registry since July 2020. She has opted out of Medicare through June 12, 2028.

NPPES Registry Identity

NPI1164040713
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY CECELIA MERRETTCredential: MS, LPC, NCC
Location Address223 KATHRYN AVEDecatur, GA 30030-5017
Mailing AddressPo Box 1428Decatur, GA 30031-1428 · (770) 856-1232
Phone(770) 856-1232
Sole ProprietorNo
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1164040713 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 · LPC011313
223 KATHRYN AVE, Decatur, GA 30030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bethany Cecelia Merrett Ms, Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2026 through June 12, 2028.

Opt-Out Effective DateJune 12, 2026
Opt-Out In Effect ThroughJune 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Merrett's NPI number?

The NPI number for Bethany Merrett is 1164040713. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Bethany Merrett located?

Bethany Merrett practices at 223 Kathryn Ave, Decatur, GA 30030. The listed phone number is (770) 856-1232.

What is Bethany Merrett's specialty?

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

Is Bethany Merrett enrolled in Medicare?

No. Bethany Merrett has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bethany Merrett was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.