Active NPI
Paulette M Bethel, MA LMFT, LPC
- Marriage & Family Therapist
- Lawrenceville, GA
National Provider Identifier
1578812442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4951
- Practice address
- 285 S Perry St
Lawrenceville, GA 30046-4840 - Phone
- (770) 733-8505
- NPI assigned
- Sep 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14673 | TX | |
| Marriage & Family Therapist | 106H00000X | 4951 | TX | Primary |
Addresses
Primary practice location
285 S Perry St
Lawrenceville, GA 30046-4840
Mailing address
770 Winston Dr
Lawrenceville, GA 30044-5787
Phone (770) 674-2770
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14673 | TX | MD | Behavioral Analyst |
| 4951 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1578812442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 WINSTON DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445787",
"telephone_number": "770-674-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 S PERRY ST",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464840",
"telephone_number": "770-733-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEL",
"first_name": "PAULETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MA LMFT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14673",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.