Individual provider Active NPI

Lydia Grace Betz, MT-BC

  • Music Therapist
  • Lowell, MI
National Provider Identifier
1972384345
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
18153 Issued in NU
Practice address
11650 Downes St NE
Lowell, MI 49331-9489
Phone
(616) 897-7842
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 18153 NU Primary

Addresses

Primary practice location

11650 Downes St NE
Lowell, MI 49331-9489

Mailing address

3015 Sunny Meade CT NE Apt 302
Grand Rapids, MI 49525-2092
Phone (734) 646-9924

Other practice location 1

640 Fifth St NW
Grand Rapids, MI 49504-5186
Phone (616) 647-5257

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1972384345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SUNNY MEADE CT NE APT 302",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252092",
            "telephone_number": "734-646-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 DOWNES ST NE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319489",
            "telephone_number": "616-897-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Fifth St NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495045186",
            "country_code": "US",
            "telephone_number": "616-647-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETZ",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NU",
            "license": "18153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.