Bethany M Lukban, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF000573 Issued in PA

Practice address

22 State Rd
Media, PA 19063-1442

Phone

(267) 259-6665

NPI assigned

Jun 23, 2010

Last updated

Sep 29, 2022By the provider in NPPES

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

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.

• Kelly Counseling & Consulting, LLC

  • Clinical Psychologist
  • Chester Heights, PA
  • NPI 1730142159

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1265743454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STATE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631442",
            "telephone_number": "267-259-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STATE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631442",
            "telephone_number": "267-259-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKBAN",
        "first_name": "BETHANY",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Lubas
• Melissa Lucchesi
• Petra Jillian Ludewig, OTR/L
• Noelle C. Ludwig, M.D.
• Bryanna Luistro
• Kelly L Lunkwitz, RN
• Kathrine Lupo, M.D.
• Theresa Ann Lust, DPT
• Ashley Lyle
• Alexa Lynch, AU.D.

• Marriage & Family Therapist in Media, PA
• Providers in Media, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.