Individual provider Active NPI

Beth Dena Mikesell, MS

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1790748986
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT31047 Issued in CA
Practice address
81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386
Phone
(925) 825-2384
Fax
(925) 676-6907
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MFT31047 CA Primary

Addresses

Primary practice location

81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386

Mailing address

81 Gregory LN
Suite 305
Pleasant Hill, CA 94523-3386
Phone (925) 825-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT31047CAMDMarriage & Family Therapist
31047CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790748986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GREGORY LN",
            "address_2": "SUITE 305",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233386",
            "telephone_number": "925-825-2384",
            "fax_number": "925-676-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 GREGORY LN",
            "address_2": "SUITE 305",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233386",
            "telephone_number": "925-825-2384",
            "fax_number": "925-676-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "BETH",
        "middle_name": "DENA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT31047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.