Active NPI
Bethany S Burton, MA, LPC
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1265956155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC14421
- Practice address
- 4625 S Lakeshore Dr
Tempe, AZ 85282 - Phone
- (480) 963-7999
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC14421 | AZ | Primary |
Addresses
Primary practice location
4625 S Lakeshore Dr
Tempe, AZ 85282
Mailing address
4625 S Lakeshore Dr
Tempe, AZ 85282-7127
Phone (480) 963-7999
Other practice location 1
6915 E Main St
Mesa, AZ 85207-8229
Phone (602) 599-5447
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC14421 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Creative Care Inc. | Past | Accepting new patients | |
| Lifewell Behavioral Wellness | Past | Accepting new patients |
Interoperability endpoints
- bethany.burtonlpc.p1@direct.lifewell.nextgenshare.com
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1720330194
-
- Adult Day Care Clinic/Center
- Mesa, AZ
- NPI 1114388626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1265956155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 S LAKESHORE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827127",
"telephone_number": "480-963-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 S LAKESHORE DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "480-963-7999"
}
],
"practiceLocations": [
{
"address_1": "6915 E Main St",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852078229",
"country_code": "US",
"telephone_number": "602-599-5447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "BETHANY",
"middle_name": "S",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC14421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.