Alicia Marie Bettenburg, B.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1790 W 11TH Ave
Suite 290
Eugene, OR 97402-3758

Phone

(541) 686-1262

Fax

(541) 686-0359

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295879880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 RIVERVIEW ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974033210",
            "telephone_number": "541-326-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 W 11TH AVE",
            "address_2": "SUITE 290",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023758",
            "telephone_number": "541-686-1262",
            "fax_number": "541-686-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENBURG",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Best, PA-C
• Bethel Health Center
• Christine Ann Bethel
• Mark D Bethel
• Sharon Bettelyoun
• Gillian M Betterton, MD
• Mary Caitlin Huber Bettger
• Betty P. CH'En Acupuncturist L.a. P.C.
• Derek James Bevans, DMD
• Richard A Beyerlein, MD

• All providers in Eugene, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.