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BETSY L DURHAM
NPI 1598065690
Counselor - Mental Health in Kokomo, IN

Active since October 25, 2010PECOS Enrolled
1948 W BOULEVARD, KOKOMO, IN 46902(765) 452-5437(844) 684-6185 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2020, Feb 9, 2016 (2 updates tracked since 2016).

About Betsy L Durham NPPES

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

BETSY L DURHAM (NPI 1598065690) is an individual mental health provider in Kokomo, Indiana, licensed in Indiana (35002597A) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kokomo.

NPPES Registry Identity

NPI1598065690
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETSY L DURHAM
Location Address1948 W BOULEVARDKokomo, IN 46902-6078
Mailing Address800 Fulton St, Attn: Anne Lawson - CredentialingLogansport, IN 46947-1577 · (574) 205-2600 · Fax (574) 739-1414
Phone(765) 452-5437
Fax(844) 684-6185
Sole ProprietorNo
Enumeration DateOctober 25, 2010
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1598065690 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 IN · 35002597A
1948 W BOULEVARD, Kokomo, IN 46902
Open in Google Maps ↗

Secondary Practice Location 1

Location 1322 N Main StKokomo, IN 46901-4622 · Phone (765) 453-8555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Betsy L Durham 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 Durham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jane Pauley Community Health Center Inc
46 mi
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group
NPI 1730488818 (317) 934-0755
Mental Health Specialty Group PA
500 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Indiana enrollment
  • 77 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 11

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

TIFFANY ANN CREAGER MSW, LSW
Social Worker
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
TIFFANY SEEKRI MSW, LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
MR. JOHN DIETZ
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (574) 727-1765
LAUREN WHITNEY MERRELL LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 438-7213
ERIC JAMES REIMNITZ
Psychologist
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
HOWARD REGIONAL PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 236-1290
JENNIFER MCNEANY
Psychologist (School)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
ANDREW MANDERY MD PLASTIC SURGERY LLC
Surgery (Plastic and Reconstructive Surgery)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 236-1290

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 Durham's NPI number?

The NPI number for Betsy Durham is 1598065690. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Betsy Durham located?

Betsy Durham practices at 1948 W Boulevard, Kokomo, IN 46902. The listed phone number is (765) 452-5437.

What is Betsy Durham's specialty?

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

Is Betsy Durham enrolled in Medicare?

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

Which organizations bill Medicare for Betsy Durham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betsy Durham reassigns Medicare benefits to 2 organizations: Jane Pauley Community Health Center Inc (Indianapolis, IN) and Mental Health Specialty Group PA (Durham, NC). 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 Durham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betsy Durham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Betsy Durham 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 Durham was last updated on November 6, 2020. 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.