BETHANY MINICK (NPI# 1114525995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114525995 |
| Entity Type | Individual |
| Full Name | BETHANY MINICK |
| Credential | LMFT |
| Practice Address |
940 56th St San Diego CA 92114-1714 |
| Practice Telephone | 6198716412 |
| Mailing Telephone | 6198716412 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 121987 | CA | Behavioral Health & Social Service Providers |
| Street Address |
940 56TH ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92114-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1144882622 | Melissa Ratsamy | Peer Specialist | 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 | 2019-07-03 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| 1568828671 | Ceferina Pulgar Ruiz | General Practice | 6809 Freed Manor Lane, San Diego, CA 92114 | 2016-01-05 |
| 1275919227 | Susan Reyes | Registered Nurse | 802a Cardiff Street, San Diego, CA 92114 | 2015-07-31 |
| 1760829097 | Rea Ordono Porciuncula | Registered Nurse | 982 Worthington St., San Diego, CA 92114 | 2013-05-28 |
| 1912170176 | Maxine Whitfield | Specialist | 5844 Mariposa Place, San Diego, CA 92114 | 2008-04-09 |
| 1124210844 | Bahghi Russom Keflezighi | Family Medicine | 220 Euclid Avenue, Suite 40, San Diego, CA 92114 | 2007-08-16 |
| 1982701058 | Mark Leroy Dimry | Pharmacist | 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 | 2006-09-20 |
| 1649241514 | Wendy G Chacon | Pediatrics | 292 Euclid Avenue, #220, San Diego, CA 92114 | 2006-01-30 |
| Find all providers in zip 92114 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275331 | Brenda L Curtis | Marriage & Family Therapist | 9191 Towne Centre Dr Ste 103, San Diego, CA 92122-1227 | 2020-11-07 |
| 1154921252 | Rayna Milner | Marriage & Family Therapist | 9308 Babauta Rd Apt 61, San Diego, CA 92129-4922 | 2020-10-28 |
| 1477160877 | Lucy Zhang | Marriage & Family Therapist | 6363 Beadnell Way Apt 249, San Diego, CA 92117-4164 | 2020-09-29 |
| 1679189161 | Lucy Wallace | Marriage & Family Therapist | 1265 Trieste Dr, San Diego, CA 92107-3957 | 2020-09-20 |
| 1871107417 | Giselle Romo | Marriage & Family Therapist | 3378 Redwood St, San Diego, CA 92104-4763 | 2020-09-01 |
| 1245849116 | Erica Ovington | Marriage & Family Therapist | 995 Gateway Center Way Ste 208, San Diego, CA 92102-4544 | 2020-07-27 |
| 1164048955 | Kristina Kalaya Clancy | Marriage & Family Therapist | 2333 1st Ave Ste 203, San Diego, CA 92101-1540 | 2020-06-17 |
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1245854983 | Rebecca Braunstein | Marriage & Family Therapist | 11342 Westonhill Dr, San Diego, CA 92126-1449 | 2020-05-28 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.