Individual provider Active NPI

Bethany Anderson, MS, LMFT

  • Marriage & Family Therapist
  • Bainbridge Island, WA
National Provider Identifier
1639461536
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60370018 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LF60370018WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 31, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Aug 31, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.