BETHANY HOLDER M.S., LMFT
NPI 1689097925
Marriage & Family Therapist in San Clemente, CA

Q: What is Bethany Holder's NPI number?

The NPI number for Bethany Holder is 1689097925. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Q: What is Bethany Holder's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Bethany Holder enrolled in Medicare?

No. Bethany Holder has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Bethany Holder was last updated on October 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 January 22, 2014Opted out of Medicare · through Sep 1, 2026

616 S EL CAMINO REAL, SUITE G-9, SAN CLEMENTE, CA 92672(949) 427-1104 Get Directions Write a Review

NPPES record last updated: October 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bethany Holder M.s., Lmft NPPES

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

BETHANY HOLDER M.S., LMFT (NPI 1689097925) is an individual marriage & family therapist in San Clemente, California, licensed in California (52156) and active in the NPI registry since January 2014. She has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1689097925

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBETHANY HOLDERCredential: M.S., LMFT

Location Address616 S EL CAMINO REAL, SUITE G-9San Clemente, CA 92672-4298

Mailing Address55 Half Moon TrlLadera Ranch, CA 92694-0215 · (949) 842-7884 · Fax (949) 364-6334

Phone(949) 427-1104

Sole ProprietorYes

Enumeration DateJanuary 22, 2014

Last NPPES UpdateOctober 25, 2014

✔ NPI 1689097925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 52156

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

616 S EL CAMINO REAL, San Clemente, CA 92672

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bethany Holder M.s., Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2024 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2024

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

ISAIAH KETCHAM MA, AMFT

Marriage & Family Therapist

616 S EL CAMINO REAL
SAN CLEMENTE, CA 92672

Orange County (949) 226-9265

JENNIFER LAFFERTY O'CONNOR PH.D.

Psychologist

616 S EL CAMINO REAL, SUITE G16
SAN CLEMENTE, CA 92672

Orange County (949) 292-9528

MICHAEL JARAMILLO D.C.

Chiropractor

616 S EL CAMINO REAL, G3
SAN CLEMENTE, CA 92672

Orange County (949) 429-4062

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 Holder's NPI number?

The NPI number for Bethany Holder is 1689097925. It was assigned to this individual provider in the NPPES registry on January 22, 2014.

Where is Bethany Holder located?

Bethany Holder practices at 616 S El Camino Real Suite G-9, San Clemente, CA 92672. The listed phone number is (949) 427-1104.

What is Bethany Holder's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bethany Holder enrolled in Medicare?

No. Bethany Holder has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Bethany Holder was last updated on October 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.