Active NPI
Marvette Bethea
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1275361644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH24613
- Practice address
- 1211 Tech Blvd
Tampa, FL 33619-7846 - Phone
- (813) 546-5881
- NPI assigned
- Jul 25, 2024
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | IMH24613 | FL | Primary |
Addresses
Primary practice location
1211 Tech Blvd
Tampa, FL 33619-7846
Mailing address
2025 Cattleman Dr
Brandon, FL 33511-2118
Phone (813) 546-5881
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH24613 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1275361644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 CATTLEMAN DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335112118",
"telephone_number": "813-546-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 TECH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197846",
"telephone_number": "813-546-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "MARVETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH24613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- Beth Ingram & Associates, LLC (HealthPRO Pediatrics)
- Beth Ingram & Associates, LLC (HealthPRO Pediatrics)
- Beth Ingram & Associates, LLC (HealthPRO Pediatrics)
- Beth Ingram Therapy Services
- Lisa Lakenya Bethea, MD
- Bethesda Revive Counseling Services, LLC
- Kendall Janelle Bett, PTA
- Elly Bettaney, BSN, BS, RN
- Better at Home, LLC.
- Better Behavior Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.