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BETHANY HEALTH SERVICES
NPI 1780208686
Nurse Practitioner - Psychiatric/Mental Health in West Lebanon, NH

Active since June 05, 2020CLIA 30D2268101 · Waiver
10 BENNING ST STE 160 #208, WEST LEBANON, NH 03784(603) 601-4766(603) 506-6362 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 28, 2021, Dec 23, 2021, Nov 16, 2021 and 1 more (4 updates tracked since 2020).

About Bethany Health Services NPPES

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

BETHANY HEALTH SERVICES (NPI 1780208686) is a healthcare organization registered as a psychiatric/mental health in West Lebanon, New Hampshire and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 6, 2028 and lists Vannessa Davis, Np, as its authorized official.

NPPES Registry Identity

NPI1780208686
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBETHANY HEALTH SERVICES
Location Address10 BENNING ST STE 160 #208West Lebanon, NH 03784-3402
Mailing Address10 Benning St Ste 160West Lebanon, NH 03784-3402 · (603) 601-4766 · Fax (603) 506-6362
Phone(603) 601-4766
Fax(603) 506-6362
Organization SubpartNo
Authorized OfficialVannessa DavisNp · (603) 601-4766
Enumeration DateJune 5, 2020
Last NPPES UpdateDecember 28, 20214 updates tracked since enumeration
NPPES CertifiedDecember 28, 2021
✔ NPI 1780208686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bethany Health Services, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Vannessa Davis, DNP, FNP, PMHNP-BC
Nurse Practitioner
NPI 1417373325
23 STILES RD STE 210
Salem, NH 03079
(603) 601-4766
✔ PECOS✔ Accepts Medicare
Esther Enoh, RN
Nurse Practitioner
NPI 1639723505
23 STILES RD STE 210
Salem, NH 03079
(603) 601-4766
✔ PECOS✔ Accepts Medicare
Elizabeth Sherman, APRN
Nurse Practitioner
NPI 1114727575
7 PROSPECT ST
Nashua, NH 03060
(603) 889-6147
✔ PECOS✔ Accepts Medicare
Amanda Woodfriend, FNP-C
Nurse Practitioner
NPI 1760401335
2 DOBSON WAY
Merrimack, NH 03054
(603) 471-6069
✔ PECOS

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2268101

Bethany Health Services, LLC · Salem, NH
Active · expires Sep 6, 2028
CLIA Number30D2268101
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 7, 2026
Certificate Expiration DateSeptember 6, 2028
Laboratory DirectorVannessa M. Davis
Laboratory Phone(603) 601-4766
Laboratory LocationBethany Health Services, LLC23 Stiles Rd, Ste 210, Salem, NH 03079
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Services's NPI number?

The NPI number for Bethany Health Services is 1780208686. It was assigned to this organization in the NPPES registry on June 5, 2020.

Where is Bethany Health Services located?

Bethany Health Services is located at 10 Benning St Ste 160 #208, West Lebanon, NH 03784. The listed phone number is (603) 601-4766.

What is Bethany Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bethany Health Services enrolled in Medicare?

Yes. Bethany Health Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethany Health Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bethany Health Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bethany Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 30D2268101) is associated with this NPI, valid through September 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bethany Health Services accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Bethany Health Services 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 Health Services was last updated on December 28, 2021. 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.