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BETSY COULTER LICSW
NPI 1205312329
Social Worker - Clinical in Sutton, WV

Active since July 11, 2018PECOS Enrolled
273 SKIDMORE LN, SUTTON, WV 26601(304) 765-4400(304) 765-0354 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2022, Jul 11, 2018 (2 updates tracked since 2018).

About Betsy Coulter Licsw NPPES

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

BETSY COULTER LICSW (NPI 1205312329) is an individual clinical provider in Sutton, West Virginia, licensed in West Virginia (DP00945368) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205312329
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBETSY COULTERCredential: LICSW
Location Address273 SKIDMORE LNSutton, WV 26601-9272
Mailing Address273 Skidmore LnSutton, WV 26601-9272 · (304) 765-4400 · Fax (304) 765-0354
Phone(304) 765-4400
Fax(304) 765-0354
Sole ProprietorNo
Enumeration DateJuly 11, 2018
Last NPPES UpdateNovember 14, 20222 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1205312329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WV · DP00945368
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
273 SKIDMORE LN, Sutton, WV 26601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betsy Coulter Licsw 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 Reassignments

2

Medicare enrollment records show Betsy Coulter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
0.7 mi
Federally Qualified Health Center (FQHC)
288 N HILL RD
Sutton, WV 26601
NPI 1750892188 (304) 924-6262
Community Care Of West Virginia, Inc.
30 mi
Federally Qualified Health Center (FQHC)
133 STAUNTON DR
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
NPI 1275271611 (304) 473-5600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
15%617 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 88% · 32 patients
84%32 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

LISA BETH SIMMS
Marriage & Family Therapist
273 SKIDMORE LN
SUTTON, WV 26601
Braxton County (304) 765-4400
BRANDI CARPENTER FNP-C
Nurse Practitioner (Family)
273 SKIDMORE LN
SUTTON, WV 26601
Braxton County (304) 765-4400
ANDREA JO TANNER FNP
Nurse Practitioner
273 SKIDMORE LN
SUTTON, WV 26601
Braxton County (304) 765-4400
SARAH ALICE CURRY M.D.
Family Medicine
273 SKIDMORE LN
SUTTON, WV 26601
Braxton County (304) 765-4400
CHRISTINA B GILLENWATER MD
Family Medicine
273 SKIDMORE LN
SUTTON, WV 26601
Braxton County (304) 765-4400

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 Betsy Coulter's NPI number?

The NPI number for Betsy Coulter is 1205312329. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Betsy Coulter located?

Betsy Coulter practices at 273 Skidmore Ln, Sutton, WV 26601. The listed phone number is (304) 765-4400.

What is Betsy Coulter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Betsy Coulter enrolled in Medicare?

Yes. Betsy Coulter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Betsy Coulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Coulter reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Sutton, WV) and Community Care Of West Virginia, Inc. (Weston, WV). Each 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 Betsy Coulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Coulter accept?

Health plans from CareSource list Betsy Coulter 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 Betsy Coulter was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.