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BETHANY J SHAKESPEARE MS, LMFT
NPI 1003152836
Marriage & Family Therapist in San Luis Obispo, CA

Active since December 26, 2012
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401(805) 439-4890 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jun 12, 2018 (2 updates tracked since 2018).

About Bethany J Shakespeare Ms, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY J SHAKESPEARE MS, LMFT (NPI 1003152836) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (100056) and active in the NPI registry since December 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003152836
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBETHANY J SHAKESPEARECredential: MS, LMFT
Location Address2975 MCMILLAN AVE STE 164San Luis Obispo, CA 93401-6768
Mailing Address2975 Mcmillan Ave Ste 164San Luis Obispo, CA 93401-6768 · (805) 750-5800
Phone(805) 439-4890
Sole ProprietorNo
Enumeration DateDecember 26, 2012
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1003152836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 100056✔ Licensed in CA · IMF 72262
Definition
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.
2975 MCMILLAN AVE STE 164, San Luis Obispo, CA 93401
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Other Names 1

Former Name (1)Bethany J Johnson Ms

Secondary Practice Locations 2

Location 1209 E 7th StMadera, CA 93638-3780 · Phone (559) 716-1980
Location 22525 Camino Del Rio S Ste 315San Diego, CA 92108-3784 · Phone (619) 858-3105

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCEDES RUIZ
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
CADEN JAMES ADAMS
Peer Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
ELINA LANDIN
Rehabilitation Practitioner
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
RANDALL THOMAS JR.
Licensed Psychiatric Technician
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 438-3890
MARIA GUEVARA
Peer Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 245-1601
MONICA MENDEZ
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
NICHOLE MARIE WINTERS
Day Training/Habilitation Specialist
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890
JANET M BROWN
Counselor (Mental Health)
2975 MCMILLAN AVE STE 164
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 439-4890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Shakespeare's NPI number?

The NPI number for Bethany Shakespeare is 1003152836. It was assigned to this individual provider in the NPPES registry on December 26, 2012. The provider is also known as Bethany J Johnson Ms.

Where is Bethany Shakespeare located?

Bethany Shakespeare practices at 2975 Mcmillan Ave Ste 164, San Luis Obispo, CA 93401. The listed phone number is (805) 439-4890.

What is Bethany Shakespeare's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Bethany Shakespeare was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.