Bethany Barber, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005629 Issued in MI

Practice address

3737 Lake Eastbrook Blvd SE Ste 218
Grand Rapids, MI 49546-5989

Phone

(616) 528-0870

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bethany Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1235701129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 VALLEYVIEW ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194520",
            "telephone_number": "616-550-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAKE EASTBROOK BLVD SE STE 218",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465989",
            "telephone_number": "616-528-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "BETHANY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "HICKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Beerthuis, LMSW, LCC
• Kelsey Barbee
• Brittany Nicole Barber Garcia
• Donna Barber-McCann
• Alyssa-Mae K Barber
• Jeremy David Barber, D.O.
• Paige Kristine Barber, PA-C
• Theodore Dale Barber, M.D.
• Karla Esmeralda Barberi
• Grayson Barbot, NBC-HWC; ACSM-CEP

• All providers in Grand Rapids, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.