BETHANIE JACQUES LCPC
NPI 1669732152
Counselor - Professional in Portland, ME
About Bethanie Jacques Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANIE JACQUES LCPC (NPI 1669732152) is an individual professional provider in Portland, Maine, licensed in Maine (CC4878) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Bethanie Jacques Lcpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Bethanie Jacques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04101
- Reassigned Medicare billing, Maine enrollment
- 162 clinicians in this Medicare group
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bethanie Jacques's NPI number?
The NPI number for Bethanie Jacques is 1669732152. It was assigned to this individual provider in the NPPES registry on May 18, 2012.
Where is Bethanie Jacques located?
Bethanie Jacques practices at 741 Warren Ave, Portland, ME 04103. The listed phone number is (207) 879-6165.
What is Bethanie Jacques's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Bethanie Jacques enrolled in Medicare?
Yes. Bethanie Jacques 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 Bethanie Jacques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethanie Jacques reassigns Medicare benefits to Spurwink Services Incorporated (Portland, ME). 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 Bethanie Jacques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethanie Jacques accept?
Health plans from Anthem Blue Cross and Blue Shield list Bethanie Jacques 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 Bethanie Jacques was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bethanie Jacques, LCPC · NPI 1669732152
Professional provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since May 18, 2012.
## Identity
- **NPI:** 1669732152 (Entity type: Individual)
- **Enumerated:** May 18, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC4878 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 741 WARREN AVE, Portland, ME 04103-1007
- **Phone:** (207) 879-6165 · **Fax:** (207) 879-7466
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Spurwink Services Incorporated (NPI 1760507297, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669732152) · Data from the CMS NPPES public registry.