Bethany Sara Kuykendall, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

140087 Issued in CA

Practice address

1717 S Chestnut Ave
Fresno, CA 93702-4709

Phone

(559) 453-8050

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fresno Pacific University Dba Pacific Counseling Center

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1568878932
  NPD
• Bella Vista Behavior Services, LLC

  • Behavior Analyst
  • Visalia, CA
  • NPI 1083019822
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1417414780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S CHESTNUT AVE # 14",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937024709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S CHESTNUT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937024709",
            "telephone_number": "559-453-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4812 E Butler Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937275014",
            "country_code": "US",
            "telephone_number": "559-453-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "BETHANY",
        "middle_name": "SARA",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "140087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke B Kutka, PA-C
• C Thomas Kutz, LCSW
• Martin Ko Kuwamoto, D.C.
• Russell G. Kuwamoto, D. C.
• Kuwar Anand DO Professional Corporation
• Daniel Jung Kwak, L.AC.
• Randal Roy Kwan, PHARMD
• John Francis Kwock, M.D.
• Alexander Hing Kwok, PHARM.D.
• Amy Mei-Yee Kwok, MD

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, 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 Feb 21, 2025; 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.