DR. CHARLES WILLIAM BETHEA PHD
NPI 1396812525
Counselor - Professional in Traverse City, MI

Active since November 30, 2006
1050 SILVER DR, TRAVERSE CITY, MI 49684(231) 947-2255(231) 947-5982 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Charles William Bethea Phd NPPES

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

DR. CHARLES WILLIAM BETHEA PHD (NPI 1396812525) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401001279) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1396812525
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. CHARLES WILLIAM BETHEACredential: PHD
Location Address1050 SILVER DRTraverse City, MI 49684-5749
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 281-6459
Fax(231) 947-5982
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateApril 22, 2008
NPI 1396812525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401001279
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801010401 (MI)
1050 SILVER DR, Traverse City, MI 49684

Other Identifiers 3

Other6401001279MI · Professional Counselor Li
Other6801010401MI · Master Social Worker Lice
Medicare ID-Type UnspecifiedM31850009MI · Medicare Number

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
1050 SILVER DR
TRAVERSE CITY, MI 49684
Social Worker
1050 SILVER DR
TRAVERSE CITY, MI 49684
Psychologist
1050 SILVER DR
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
1050 SILVER DR
TRAVERSE CITY, MI 49684
Social Worker
1050 SILVER DR
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
1050 SILVER DR
TRAVERSE CITY, MI 49684
Counselor (Professional)
1050 SILVER DR
TRAVERSE CITY, MI 49684
Social Worker
1050 SILVER DR
TRAVERSE CITY, MI 49684

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 Charles Bethea's NPI number?

The NPI number for Charles Bethea is 1396812525. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Charles Bethea located?

Charles Bethea practices at 1050 Silver Dr, Traverse City, MI 49684. The listed phone number is (231) 947-2255.

What is Charles Bethea'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 Charles Bethea was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.