Jeffrey Eugene Bettencourt, LMFT;LEP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

29912 Issued in CA

Practice address

18181 Butterfield Blvd Ste 105
Morgan Hill, CA 95037-8119

Phone

(408) 203-4401

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Relationships, a Marriage, Family Therapy and Educational Psychology

  • Mental Health Counselor
  • Morgan Hill, CA
  • NPI 1346073848

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1760718647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 105",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378119",
            "telephone_number": "408-203-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 BUTTERFIELD BLVD STE 105",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950378119",
            "telephone_number": "408-203-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENCOURT",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LMFT;LEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "2986",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "299122986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Bennett, CCE, SBD
• Robin Elizabeth Bennett, DO
• Merrissa Joye Bentley, B.A
• Juan Manuel Bernal
• Betsy Duell DDS Inc
• Beulah Home Care LLC
• Bhawna Gupta DDS Dental Corp (Morgan Hill Dental Studio)
• Jodi W Bjurman, RD, CDE
• Jennifer Annette Boltinghouse
• Valy Boulom, M.D.

• Marriage & Family Therapist in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.