MARISA RENEE BETHEL
NPI 1376214460
Counselor - Addiction (Substance Use Disorder) in East Peoria, IL

Q: What is Marisa Bethel's NPI number?

The NPI number for Marisa Bethel is 1376214460. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Q: What is Marisa Bethel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Bethel was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 28, 2021

111 W WASHINGTON ST, EAST PEORIA, IL 61611(309) 694-6462 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Marisa Renee Bethel NPPES

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

MARISA RENEE BETHEL (NPI 1376214460) is an individual addiction (substance use disorder) provider in East Peoria, Illinois and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1376214460

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMARISA RENEE BETHEL

Location Address111 W WASHINGTON STEast Peoria, IL 61611-2532

Mailing Address3248 Vandever AvePekin, IL 61554-6274 · (309) 347-5522

Phone(309) 694-6462

Sole ProprietorNo

Enumeration DateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1376214460 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

111 W WASHINGTON ST, East Peoria, IL 61611

Open in Google Maps ↗

Other Identifiers 1

Other101YA0400XTaxonomy

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.

TAZEWELL COUNTY RESOURCE CENTERS INC

Optometrist (Low Vision Rehabilitation)

111 W WASHINGTON ST, SUITE 410
EAST PEORIA, IL 61611

Tazewell County (309) 698-4001

KAREN LYNETTE SEDGWICK CRNA

Nurse Anesthetist, Certified Registered

111 W WASHINGTON ST, SUITE 310
EAST PEORIA, IL 61611

Tazewell County (309) 699-4715

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 Marisa Bethel's NPI number?

The NPI number for Marisa Bethel is 1376214460. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Marisa Bethel located?

Marisa Bethel practices at 111 W Washington St, East Peoria, IL 61611. The listed phone number is (309) 694-6462.

What is Marisa Bethel'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 Marisa Bethel was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.