Provider Demographics
NPI:1700228053
Name:CASH, BETH J (LMHC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:J
Last Name:CASH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 MYERS RD
Mailing Address - Street 2:
Mailing Address - City:HOWES CAVE
Mailing Address - State:NY
Mailing Address - Zip Code:12092-2202
Mailing Address - Country:US
Mailing Address - Phone:518-231-3183
Mailing Address - Fax:
Practice Address - Street 1:117 GRANITE DR
Practice Address - Street 2:STE 2
Practice Address - City:COBLESKILL
Practice Address - State:NY
Practice Address - Zip Code:12043-5040
Practice Address - Country:US
Practice Address - Phone:518-231-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00300428Medicaid