Beth Turner Proudfoot, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

19708 Issued in CA

Practice address

3880 S Bascom Ave
Suite 115
San Jose, CA 95124-2674

Phone

(408) 351-1044

Fax

(408) 796-7477

NPI assigned

Dec 22, 2015

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

Opted out of Medicare

Yes, effective Jul 5, 2024 through Jul 5, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Child & Family Counseling Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1114659984
  NPD (past) Authorized official

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1265897979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE",
            "address_2": "SUITE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242674",
            "telephone_number": "408-351-1044",
            "fax_number": "408-796-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE",
            "address_2": "SUITE 115",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242674",
            "telephone_number": "408-351-1044",
            "fax_number": "408-796-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUDFOOT",
        "first_name": "BETH",
        "middle_name": "TURNER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "19708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinath Prom, RN FIRST ASSISTANT
• Nacha Promsatian
• Pronurseregistery
• Prosper Health Medical Services West PC
• Tania Protsenko, MA IN COUNSELING PSY
• Natalie Kristine Provenzano, D.D.S.
• Janelle Provost, DC
• Alysha Prum
• Chettra So Prum
• Phyllis Lynn Pryor

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.