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BETHANY BEAUDET LCSW
NPI 1518653740
Counselor - Mental Health in St Petersburg, FL

Active since April 12, 2023PECOS Enrolled
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 300-0063(727) 954-6546 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bethany Beaudet Lcsw NPPES

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

BETHANY BEAUDET LCSW (NPI 1518653740) is an individual mental health provider in St Petersburg, Florida, licensed in Florida (SW19777) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518653740
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETHANY BEAUDETCredential: LCSW
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing Address4024 Central AveSt Petersburg, FL 33711-1239 · (727) 300-0063 · Fax (727) 954-6546
Phone(727) 300-0063
Fax(727) 954-6546
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1518653740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW19777
4024 CENTRAL AVE, St Petersburg, FL 33711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 Beaudet Lcsw 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 Beaudet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suncoast Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
4024 CENTRAL AVE
St Petersburg, FL 33711
  • Reassigned Medicare billing, Florida enrollment
  • 67 clinicians in this Medicare group
NPI 1659371763 (727) 327-7656

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 20

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

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Beaudet's NPI number?

The NPI number for Bethany Beaudet is 1518653740. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Bethany Beaudet located?

Bethany Beaudet practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 300-0063.

What is Bethany Beaudet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bethany Beaudet enrolled in Medicare?

Yes. Bethany Beaudet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Beaudet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Beaudet reassigns Medicare benefits to Suncoast Center, Inc. (St Petersburg, 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 Beaudet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Beaudet accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 1 other insurer list Bethany Beaudet 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 Beaudet was last updated on April 12, 2023. 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.