Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany N Jark, LPC

Individual provider Professional Counselor · NPI 1861052078

Bethany N Jark, LPC is a Mental Health Counselor in De Pere, Wisconsin. Qualified in 2019, 7 years ago. Practices with Charis Counseling LLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

400 Reid St Ste N
De Pere, WI 54115-2164
Phone: (715) 842-9500
Fax: (715) 848-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8642-125 (WI)

Record details

NPI number1861052078
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address400 Reid St Ste N, De Pere, WI 54115-2164

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Charis Counseling Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in De Pere