Colony Behavioral Health Group, PLLC
NPI 1770536054ActiveOrganization· Psychologist, Counseling· Trent Woods, NC
Psychologist, Counseling in Trent Woods, North Carolina, registered in NPPES in May 2006. The authorized official on file is Bethanne Thumm Jacobson, PH.D., Licensed Psychologist.
Overview
| NPI | 1770536054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Jun 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 3037 | NC |
| Counselor | 101Y00000X | LPC1030 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | PCAS28 | NC |
| Psychologist, Clinical | 103TC0700X | 2021 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|