MRS. BETSY BROOKE HENNINGER (LPC) – Professional Counselor, NPI 1811957921
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
356 MENTAL HEALTH COUNSELOR in UT
Provider Addresses for MRS. BETSY BROOKE HENNINGER (LPC)
Box Avenue, Sandy Point, Shire of South Gippsland, Victoria, Australia
SANDY, UT 840900245
Phone: (801) 634-8727
Fax: (801) 733-4083
Type: Mailing
326 E MAIN ST
GRANTSVILLE, UT 840299691
Phone: (435) 840-4209
Type: Location
50, North Main Street, Tooele, Tooele County, Utah, 84074, United States
TOOELE, UT 840742139
Phone: (435) 840-4209
Fax: (801) 733-4083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240219003487 | I | Mental Health Counselor | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Mental Health Counselor | FL | |
| Clinical Social Worker | FL | |
| Mental Health Counselor | FL | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | AL | |
| Marriage And Family Therapist | FL | |
| Mental Health Counselor | AL | |
| Mental Health Counselor | FL |
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