Active NPI
Bethany Anderson, MS, LMFT
- Marriage & Family Therapist
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF60370018
- Practice address
- 271 Wyatt Way NE Ste 206
Bainbridge Island, WA 98110-2873 - Phone
- (206) 780-7822
- Fax
- (206) 780-7880
- NPI assigned
- May 10, 2011
- Last updated
- Nov 19, 2024
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF60370018 | WA | Primary |
Addresses
Primary practice location
271 Wyatt Way NE Ste 206
Bainbridge Island, WA 98110-2873
Mailing address
271 Wyatt Way NE Ste 206
Bainbridge Island, WA 98110-2873
Phone (206) 780-7822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250716003498 | WA | Practitioner - Marriage and Family Therapist | 9638684707 |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
2897 Baronet Way
Sacramento, CA 95833-2910
450 S Kitsap Blvd
Suite 260
Port Orchard, WA 98366-3739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF60370018 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients |
Locations
450 S Kitsap Blvd
Ste 260
Port Orchard, WA 98366
Phone (360) 698-4860
19500 10th Ave NE
Ste 270
Poulsbo, WA 98370
Phone (360) 625-9596
1191 NW Tahoe Ln
Silverdale, WA 98383
Phone (360) 698-4860
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1639461536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 WYATT WAY NE STE 206",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102873",
"telephone_number": "206-780-7822",
"fax_number": "206-780-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 WYATT WAY NE STE 206",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102873",
"telephone_number": "206-780-7822",
"fax_number": "206-780-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BETHANY",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF60370018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
- Agate Passage Psychological Services, Inc. PS
- Janette M Ahrndt, MPT
- E Patricia Alden, LMP
- Anna Rebecca Allender, M.AC., L.AC.
- Janice Kaye Alt, LPT
- Susan Elizabeth Anderson, LMHC
- Andrew J. Tellington DMD, P.C. (West Sound Oral Surgery)
- Angela Spooner Hanson DPT PLLC
- Robert Hall Ardinger Jr., M.D.
- Arrow Mental Health, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.