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BETHANY ROSE LEE MA, LADC
NPI 1629934898
Student in an Organized Health Care Education/Training Program in Plymouth, MN

Active since December 31, 2025
11505 36TH AVE N, PLYMOUTH, MN 55441(763) 509-3838 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Rose Lee Ma, Ladc NPPES

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

BETHANY ROSE LEE MA, LADC (NPI 1629934898) is an individual student in an organized health care education/training program in Plymouth, Minnesota and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1629934898
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHANY ROSE LEECredential: MA, LADC
Location Address11505 36TH AVE NPlymouth, MN 55441-2304
Mailing Address15330 18th Ave N Apt 907Plymouth, MN 55447-2468 · (320) 221-5686
Phone(763) 509-3838
Sole ProprietorNo
Enumeration DateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1629934898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11505 36TH AVE N, Plymouth, MN 55441
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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.

COURTNEY ELIZABETH WILKINS RN
Registered Nurse (Addiction (Substance Use Disorder))
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3968
JOHN KENNETH DELKE MA, LADC
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (877) 803-1520
ROBERT THOMAS STOKES
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3905
SAMANTHA WHITE
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (800) 257-7800
ABIGAIL WEBSTER
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3867
KRISTEEN JOANNE LAPLANT YOUNG LPCC, LADC
Counselor (Professional)
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3818
TIM HELMEKE
Student in an Organized Health Care Education/Training Program
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3864
CYNTHIA DOTH
Counselor (Mental Health)
11505 36TH AVE N
PLYMOUTH, MN 55441
Hennepin County (763) 509-3953

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 Lee's NPI number?

The NPI number for Bethany Lee is 1629934898. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Bethany Lee located?

Bethany Lee practices at 11505 36th Ave N, Plymouth, MN 55441. The listed phone number is (763) 509-3838.

What is Bethany Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bethany Lee was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.