MRS. BETHANNE FETZER MED, LPC
NPI 1417263419
Counselor in State College, PA

Q: What is Bethanne Fetzer's NPI number?

The NPI number for Bethanne Fetzer is 1417263419. It was assigned to this individual provider in the NPPES registry on August 27, 2010. The provider is also known as Ms. Bethanne French Woodhouse Med, Lpc.

Q: What is Bethanne Fetzer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Bethanne Fetzer was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 27, 2010PECOS EnrolledAccepts Medicare Assignment

1107 WEST COLLEGE AVE, STATE COLLEGE, PA 16801(814) 325-0280(814) 826-2241 Get Directions Write a Review

NPPES record last updated: January 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 10, 2021, Feb 7, 2017 (2 updates tracked since 2017).

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About Mrs. Bethanne Fetzer Med, Lpc NPPES

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

MRS. BETHANNE FETZER MED, LPC (NPI 1417263419) is an individual counselor in State College, Pennsylvania, licensed in Pennsylvania (PC005818) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1417263419

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. BETHANNE FETZERCredential: MED, LPC

Location Address1107 WEST COLLEGE AVEState College, PA 16801

Mailing Address1107 West College AveState College, PA 16801 · (814) 325-0280 · Fax (814) 826-2241

Phone(814) 325-0280

Fax(814) 826-2241

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 27, 2010

Last NPPES UpdateJanuary 10, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2021

✔ NPI 1417263419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in PA · PC005818

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

1107 WEST COLLEGE AVE, State College, PA 16801

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Other Names 1

Former Name (1)Ms. Bethanne French Woodhouse Med, Lpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Bethanne Fetzer Med, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375807175

PECOS Enrollment IDI20241125002943

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 Bethanne Fetzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

A Journey To You...LLC

1.9 mi

Professional

1609 N ATHERTON ST
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1407270234 (814) 325-0280

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

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 Bethanne Fetzer's NPI number?

The NPI number for Bethanne Fetzer is 1417263419. It was assigned to this individual provider in the NPPES registry on August 27, 2010. The provider is also known as Ms. Bethanne French Woodhouse Med, Lpc.

Where is Bethanne Fetzer located?

Bethanne Fetzer practices at 1107 West College Ave, State College, PA 16801. The listed phone number is (814) 325-0280.

What is Bethanne Fetzer's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Bethanne Fetzer enrolled in Medicare?

Yes. Bethanne Fetzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bethanne Fetzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethanne Fetzer reassigns Medicare benefits to A Journey To You...LLC (State College, PA). 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 Bethanne Fetzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethanne Fetzer was last updated on January 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.