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MRS. BETHANY FELICITA LMHC
NPI 1962188904
Counselor - Mental Health in Waterloo, NY

Active since June 26, 2023PECOS Enrolled
31 THURBER DR, WATERLOO, NY 13165(315) 759-9402(315) 539-1054 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Bethany Felicita Lmhc NPPES

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

MRS. BETHANY FELICITA LMHC (NPI 1962188904) is an individual mental health provider in Waterloo, New York, licensed in New York (004354-01) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962188904
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. BETHANY FELICITACredential: LMHC
Location Address31 THURBER DRWaterloo, NY 13165-1665
Mailing Address31 Thurber DrWaterloo, NY 13165-1665 · (315) 759-9402 · Fax (315) 539-1054
Phone(315) 759-9402
Fax(315) 539-1054
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 24, 2023
✔ NPI 1962188904 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 NY · 004354-01
31 THURBER DR, Waterloo, NY 13165
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Bethany Felicita Lmhc 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.

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.

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 Felicita's NPI number?

The NPI number for Bethany Felicita is 1962188904. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Bethany Felicita located?

Bethany Felicita practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 759-9402.

What is Bethany Felicita's specialty?

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

Is Bethany Felicita enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bethany Felicita was last updated on June 26, 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.