Bethany N. Jark, LPC
NPI 1861052078ActiveIndividual· Counselor, Professional· De Pere, WI
Counselor, Professional (LPC) with Behavioral Health Clinic LLC and 1 other group, practicing in De Pere, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1861052078 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Jun 19, 2019 |
| Last updated in NPPES | Jul 7, 2026 |
| Certified by provider | Jul 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 8642-125 | WI |
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) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- Behavioral Health Clinic LLCGrafton, WI · 42 clinicians
- Charis Counseling LLCWausau, WI · 13 clinicians
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All 40 professional counselors in De Pere · All professional counselors in Wisconsin