Active NPI
Janell Bethea
- Clinical Social Worker
- Arlington, TX
National Provider Identifier
1619684537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 42025
- Practice address
- 1201 N Watson Rd Ste 20
Arlington, TX 76006-6190 - Phone
- (682) 290-9619
- NPI assigned
- Oct 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 42025 | TX | Primary |
Addresses
Primary practice location
1201 N Watson Rd Ste 20
Arlington, TX 76006-6190
Mailing address
952 Hiawatha LN
Saginaw, TX 76131-4833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7 | Other | TX | THERAPIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | reviivetherapy.com | Direct | Reviive Therapy |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42025 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744416000000",
"number": "1619684537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 HIAWATHA LN",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761314833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 20",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066190",
"telephone_number": "682-290-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHEA",
"first_name": "JANELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2025-04-12",
"certification_date": "2025-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "42025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPIST",
"identifier": "7",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "reviivetherapy.com",
"affiliation": "Y",
"endpointDescription": "website for therapy practice",
"affiliationName": "Reviive Therapy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1201 N Watson Rd Ste 20",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760066190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.