Individual provider Active NPI

Bethany Anne Kulp, LCSW

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1699192880
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58242 Issued in TX
Practice address
326 N LBJ Dr Ste 190
San Marcos, TX 78666-5624
Phone
(512) 881-7768
Fax
(512) 265-9627
NPI assigned
Mar 25, 2014
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00007725 WA
Clinical Social Worker 1041C0700X 58242 TX Primary

Addresses

Primary practice location

326 N LBJ Dr Ste 190
San Marcos, TX 78666-5624

Mailing address

326 N LBJ Dr Ste 190
San Marcos, TX 78666-5624
Phone (512) 881-7768

Other practice location 1

600 Congress Ave
Austin, TX 78701-3238
Phone (512) 812-8519

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
58242TXMDClinical Social Worker
LW00007725WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1699192880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N LBJ DR STE 190",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665624",
            "telephone_number": "512-881-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LBJ DR STE 190",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665624",
            "telephone_number": "512-881-7768",
            "fax_number": "512-265-9627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013238",
            "country_code": "US",
            "telephone_number": "512-812-8519",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULP",
        "first_name": "BETHANY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00007725",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.