Active NPI
Bethany Lamar-Boone, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1053043067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 83888
- Practice address
- 119 Colton Dr
San Antonio, TX 78209-1709 - Phone
- (210) 517-3287
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 83888 | TX | Primary |
Addresses
Primary practice location
119 Colton Dr
San Antonio, TX 78209-1709
Mailing address
12075 Texana CV
San Antonio, TX 78253-5886
Phone (210) 517-3287
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bethany@livingwatertherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83888 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1053043067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12075 TEXANA CV",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535886",
"telephone_number": "210-517-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 COLTON DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091709",
"telephone_number": "210-517-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMAR-BOONE",
"first_name": "BETHANY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "83888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bethany@livingwatertherapy.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "12075 Texana Cv",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782535886",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.