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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BETHANY ROOT SUDRC
NPI 1255239620
Counselor - Addiction (Substance Use Disorder) in San Pablo, CA

Active since October 27, 2026
1901 CHURCH LN, SAN PABLO, CA 94806(510) 236-3134 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany Root Sudrc NPPES

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

BETHANY ROOT SUDRC (NPI 1255239620) is an individual addiction (substance use disorder) provider in San Pablo, California, licensed in California (25719) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1255239620
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBETHANY ROOTCredential: SUDRC
Location Address1901 CHURCH LNSan Pablo, CA 94806-3707
Mailing Address1901 Church LnSan Pablo, CA 94806-3707 · (510) 236-3134
Phone(510) 236-3134
Sole ProprietorNo
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1255239620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 25719
1901 CHURCH LN, San Pablo, CA 94806
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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.

MAUREEN LUCILLE BRANNON
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3139
CRYSTAL NICOLE RAMIREZ
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3134
RECTORY WOMENS RECOVERY CENTER
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3139
UJIMA FAMILY RECOVERY SERVICES
Substance Abuse Rehabilitation Facility
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3134
JAMY RENEE KAPPEL
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3139
KRISTIN KILIAN LOBOS SUDCC
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 215-2280
MICHELLE RUSSELL
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3134
YOLANDA RENEA GRAVES SUDCC II
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Contra Costa County (510) 236-3134

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 Root's NPI number?

The NPI number for Bethany Root is 1255239620. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Bethany Root located?

Bethany Root practices at 1901 Church Ln, San Pablo, CA 94806. The listed phone number is (510) 236-3134.

What is Bethany Root's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bethany Root was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.