Active NPI
Kevin Joe Bethune, MA LPC
- Professional Counselor
- Tulsa, OK
National Provider Identifier
1801929732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2828LPC
- Practice address
- 2325 S Harvard
Suite 400
Tulsa, OK 74114-3300 - Phone
- (918) 712-4301
- Fax
- (918) 712-3409
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2828LPC | OK | Primary |
Addresses
Primary practice location
2325 S Harvard
Suite 400
Tulsa, OK 74114-3300
Mailing address
650 S Peoria
Tulsa, OK 74120-4429
Phone (918) 587-9471
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2828LPC | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801929732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S PEORIA",
"city": "TULSA",
"state": "OK",
"postal_code": "741204429",
"telephone_number": "918-587-9471",
"fax_number": "918-560-0137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 S HARVARD",
"address_2": "SUITE 400",
"city": "TULSA",
"state": "OK",
"postal_code": "741143300",
"telephone_number": "918-712-4301",
"fax_number": "918-712-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHUNE",
"first_name": "KEVIN",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2828LPC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.