Bethany University Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

42703 Issued in CA

Legal business name

BETHANY UNIVERSITY COUNSELING CENTER

Practice address

800 Bethany Drive
Scotts Valley, CA 95066

Phone

(831) 430-3960

Fax

(831) 438-2308

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Julie Carboni, MA, LMFT

Title

Graduate Program Director

Phone

(831) 438-3800

Specialties & licenses 1

Addresses

Other names 1

• Bethany College Former legal business name

Locations

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1972755536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BETHANY DRIVE",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-430-3960",
            "fax_number": "831-438-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BETHANY DRIVE",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "95066",
            "telephone_number": "831-430-3960",
            "fax_number": "831-438-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY UNIVERSITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "CARBONI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "GRADUATE PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "831-438-3800",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany College",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allison Bennett
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• John D Bergren, MD
• Christopher James Bernardi, D.O.
• Devin Bernhardt
• Beyond Prosthetics Inc
• Jeannette Bingham, NP
• David Walton Black, DDS
• Leslie C Black, M.S.,CCC/SLP
• Stacy Blasi, LCSW

• Marriage & Family Therapist in Scotts Valley, CA
• Providers in Scotts Valley, 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 15, 2008; 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.