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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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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.