Individual provider Active NPI

Bethene A. Babcock, M.A.,M.F.T

  • Marriage & Family Therapist
  • Montrose, CA
National Provider Identifier
1891054334
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT34938 Issued in CA
Practice address
2303 Florencita Ave
Montrose, CA 91020-1817
Phone
(818) 243-7841
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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 MFT34938 CA Primary

Addresses

Primary practice location

2303 Florencita Ave
Montrose, CA 91020-1817

Mailing address

2303 Florencita Ave
Montrose, CA 91020-1817
Phone (818) 243-7841

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

LicenseStateTypeSpecialty
MFT34938CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1891054334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 FLORENCITA AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201817",
            "telephone_number": "818-243-7841",
            "fax_number": "818-243-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 FLORENCITA AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201817",
            "telephone_number": "818-243-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "BETHENE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.A.,M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT34938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.