Bethany Ison Licsw, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BETHANY ISON LICSW, LLC

Practice address

19 E Wind Dr
Plymouth, MA 02360-2714

Phone

(774) 343-3332

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Bethany IsonNPI 1164907564

Title

Owner

Phone

(774) 343-3332

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Ison

  • Social Worker
  • Plymouth, MA
  • NPI 1164907564
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1275214629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOME DEPOT DR # 236",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602669",
            "telephone_number": "774-343-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E WIND DR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602714",
            "telephone_number": "774-343-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY ISON LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ISON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-343-3332"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayler Bessette, B.S.
• Beth Israel Deaconess Hospital Plymouth, Inc.
• Beth Israel Deaconess Hospital Plymouth, Inc.
• Beth Israel Deaconess Hospital Plymouth, Inc.
• Beth Israel Lahey Health Surgery Center Plymouth LLC
• David Betteridge, MD
• Nicholas Biagini, DMD
• Charles Bichajian, PH D
• Patricia Jean Biffar
• Bill Gately Ma, LMHC

• Mental Health Counselor in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.