MR. GARY JOSEPH BETTENCOURT SUDCC
NPI 1689456717
Counselor - Addiction (Substance Use Disorder) in Modesto, CA
NPI Status: Active since October 13, 2023
Contact Information
1101 SYLVAN AVE STE C103
MODESTO, CA
ZIP 95350
Phone: (209) 758-7477
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
- PECOS Enrolled
About GARY BETTENCOURT
This page provides the complete NPI Profile along with additional information for Gary Bettencourt, a provider established in Modesto, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1689456717 assigned on October 2023. The practitioner's primary taxonomy code is 101YA0400X with license number 9127 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1689456717
- Provider Name
- MR. GARY JOSEPH BETTENCOURT SUDCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1101 SYLVAN AVE STE C103 MODESTO, CA 95350
- Location Phone
- (209) 758-7477
- Mailing Address
- 1101 SYLVAN AVE STE C103 MODESTO, CA 95350
- Mailing Phone
- (209) 758-7477
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-13-2023
- Last Update Date
- 10-13-2023
- Code Navigator
A Substance Abuse or Addiction Counselor like Gary Bettencourt advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 9127
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Gary Bettencourt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MR. GARY JOSEPH BETTENCOURT SUDCC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 4 | 5 | 6 | 7 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 8 | 5 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 8 + 5 + 1 + 2 + 7 + 2 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1689456717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760264915 | DAVID RAESE SUDRC#15389 Individual | Counselor (Addiction (Substance Use Disorder)) | 1101 SYLVAN AVE STE C103 MODESTO, CA 95350 (209) 758-7477 |
| 1740990928 | ROOTS OF ADDICTION COUNSELING CENTER LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 1101 SYLVAN AVE STE C103 MODESTO, CA 95350 (209) 578-7477 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689456717, enumerated in the NPI registry as an "individual" on October 13, 2023
The provider is located at 1101 Sylvan Ave Ste C103 Modesto, Ca 95350 and the phone number is (209) 758-7477
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on October 13, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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