Bethel Family Counseling Professional Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48619 Issued in CA

Legal business name

BETHEL FAMILY COUNSELING PROFESSIONAL CORPORATION

Practice address

3737 Camino del Rio S
205
San Diego, CA 92108-4006

Phone

(619) 933-9931

Fax

(619) 516-3590

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Shawna R Bethel, LMFT

Title

Owner/Clinician

Phone

(619) 933-9931

Specialties & licenses 1

Addresses

Other names 1

• Shawna Bethel, LMFT Former legal business name

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1356705222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 CAMINO DEL RIO SOUTH",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084008",
            "telephone_number": "619-933-9931",
            "fax_number": "619-516-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 CAMINO DEL RIO S",
            "address_2": "205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084006",
            "telephone_number": "619-933-9931",
            "fax_number": "619-516-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL FAMILY COUNSELING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "619-933-9931",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawna Bethel, LMFT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Diva Alejandra Betech, FNP
• Beth Corrick MFT
• Beth Scalone PT, Inc
• Tracy J Betha, RDHAP
• Diego Bethea
• Linda Elaine Bethel, R.N.
• Shawna R Bethel, IMF
• Jessica Bethlahmy
• Crystal Marie Bettenhausen-Bubulka, HI LCSW 4606
• Better Night, LLC

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Apr 7, 2016; 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.