Bethany Victoria Luna, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

202177 Issued in TX

Practice address

8008 Slide Rd Ste 12a
Lubbock, TX 79424-2828

Phone

(806) 778-1982

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Moon Healing, PLLC

  dba Phoenix Moon Therapy

  • Marriage & Family Therapist
  • Lubbock, TX
  • NPI 1306519780
  NPD Authorized official
• Lubbock Independent School District

  dba Lisd Eci Debt Program

  • Developmental Disabilities Clinic/Center
  • Lubbock, TX
  • NPI 1669543401
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1063878015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD STE 12A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242828",
            "telephone_number": "806-778-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 SLIDE RD STE 12A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242828",
            "telephone_number": "806-778-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 19th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794014832",
            "country_code": "US",
            "telephone_number": "806-219-0500",
            "fax_number": "806-766-1286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNA",
        "first_name": "BETHANY",
        "middle_name": "VICTORIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Diane Luera, LPC
• Kristina Luera, LPC, LSOTP
• Rolando Adolfo Lugo II, FNP-C
• Nelson W Lum, M.D.
• Bernard Lumongsud
• Cassidy Jeannette Luna, NNP-BC
• Kaylin Rae Luna, CCC-SLP
• Kimberly Luna, PHARM.D.
• Laurie Luna, FNP
• Luanne Luna, OT

• Marriage & Family Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.