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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BETHANY ANDERSON
NPI 1013643170
Counselor - Professional in King City, OR

Active since July 29, 2022
15405 SW 116TH AVE STE 124, KING CITY, OR 97224(323) 522-2218 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Jul 29, 2022 (2 updates tracked since 2022).

About Bethany Anderson NPPES

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

BETHANY ANDERSON (NPI 1013643170) is an individual professional provider in King City, Oregon, licensed in Oregon (R10099) and active in the NPI registry since July 2022. She maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1013643170
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY ANDERSON
Location Address15405 SW 116TH AVE STE 124King City, OR 97224-4103
Mailing Address133 Sw Sharon Jane PlMcminnville, OR 97128-5655
Phone(323) 522-2218
Sole ProprietorNo
Enumeration DateJuly 29, 2022
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1013643170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · R10099
15405 SW 116TH AVE STE 124, King City, OR 97224
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Secondary Practice Location 1

Location 11640 Boro Pl Fl 4Mc Lean, VA 22102-3627 · Phone (323) 522-2218

Other Providers at the Same Location NPPES 2

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

CHRISTINA BAKKER CADC II, QMHA II
Counselor (Addiction (Substance Use Disorder))
15405 SW 116TH AVE STE 124
KING CITY, OR 97224
Washington County (617) 921-6422
AFFECT THERAPEUTICS INC
Clinic/Center (Adult Mental Health)
15405 SW 116TH AVE STE 124
KING CITY, OR 97224
Washington County (845) 769-8758

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 Anderson's NPI number?

The NPI number for Bethany Anderson is 1013643170. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Bethany Anderson located?

Bethany Anderson practices at 15405 SW 116th Ave Ste 124, King City, OR 97224. The listed phone number is (323) 522-2218.

What is Bethany Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bethany Anderson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.