Organization Active NPI

Beth Holder Licensed Marriage and Family Therapy Inc

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1659944361
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BETH HOLDER LICENSED MARRIAGE AND FAMILY THERAPY INC
Practice address
302 N El Camino Real Ste 202
San Clemente, CA 92672-4778
Phone
(949) 842-7884
Fax
(949) 272-5541
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Bethany Holder, LMFTNPI 1689097925
Title
Director
Phone
(949) 842-7884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

302 N El Camino Real Ste 202
San Clemente, CA 92672-4778

Mailing address

302 N El Camino Real Ste 202
San Clemente, CA 92672-4778
Phone (949) 842-7884

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bethholder@bethholdermft.com Direct

National Provider Directory

National Provider Directory

Locations

302 N El Camino Real
Ste 202
San Clemente, CA 92672
Phone (949) 374-9882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1659944361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-842-7884",
            "fax_number": "949-272-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-842-7884",
            "fax_number": "949-272-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH HOLDER LICENSED MARRIAGE AND FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-842-7884",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethholder@bethholdermft.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "302 N El Camino Real Ste 202",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926724778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.