Individual provider Active NPI

Bethany Michelle Bosier

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1003323445
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-20774 Issued in AZ
Practice address
10245 E Via Linda Ste 225
Scottsdale, AZ 85258-5345
Phone
(480) 687-3435
Fax
(480) 687-7061
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-155248 AZ
Counselor 101Y00000X LPC-20774 AZ Primary
Counselor 101Y00000X 79520 TX
Counselor 101Y00000X CP5567-R NV
Addiction (Substance Use Disorder) Counselor 101YA0400X 15017 TX

Addresses

Primary practice location

10245 E Via Linda Ste 225
Scottsdale, AZ 85258-5345

Mailing address

10245 E Via Linda Ste 225
Scottsdale, AZ 85258-5345
Phone (480) 687-3435

Other names 1

  • Bethany Michelle Solomon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-20774AZMDCounselor
CP5567-RNVMDCounselor
79520TXMDCounselor
LISAC-155248AZMDAddiction (Substance Use Disorder) Counselor
15017TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1003323445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585345",
            "telephone_number": "480-687-3435",
            "fax_number": "480-687-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 E VIA LINDA STE 225",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585345",
            "telephone_number": "480-687-3435",
            "fax_number": "480-687-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSIER",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-155248",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-20774",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "79520",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "CP5567-R",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "SOLOMON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.