Individual provider Active NPI

Bethany Michelle Frelin, MS,CCC-SLP

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1255811980
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010908 Issued in GA
Practice address
1257 Brandl Dr SW
Marietta, GA 30008-3571
Phone
(817) 897-4272
NPI assigned
Aug 21, 2018
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 114433 TX
Speech-Language Pathologist 235Z00000X SLP010908 GA Primary

Addresses

Primary practice location

1257 Brandl Dr SW
Marietta, GA 30008-3571

Mailing address

1257 Brandl Dr SW
Marietta, GA 30008-3571
Phone (817) 897-4272

Other names 1

  • Ms. Bethany Michelle Richards Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP010908GAMDSpeech-Language Pathologist
114433TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1255811980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 BRANDL DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083571",
            "telephone_number": "817-897-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 BRANDL DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083571",
            "telephone_number": "817-897-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRELIN",
        "first_name": "BETHANY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114433",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "RICHARDS",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.