Individual provider Active NPI

Bethany A Dech, LPC, LADC

  • Professional Counselor
  • Bethany, OK
National Provider Identifier
1396985545
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3953 Issued in OK
Practice address
6612 NW 42ND St
Bethany, OK 73008-2764
Phone
(405) 717-6200
NPI assigned
Mar 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3953 OK Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 858 OK

Addresses

Primary practice location

6612 NW 42ND St
Bethany, OK 73008-2764

Mailing address

14800 Blackjack Dr
Piedmont, OK 73078-8954
Phone (405) 317-8824

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

LicenseStateTypeSpecialty
858OKMDMarriage & Family Therapist
3953OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nazarene University PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1396985545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 BLACKJACK DR",
            "city": "PIEDMONT",
            "state": "OK",
            "postal_code": "730788954",
            "telephone_number": "405-317-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 NW 42ND ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730082764",
            "telephone_number": "405-717-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECH",
        "first_name": "BETHANY",
        "middle_name": "A",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-01",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3953",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OK",
            "license": "858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.