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

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: July 26, 2026.

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
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

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.

Marriage & Family Therapist
616 S EL CAMINO REAL
SAN CLEMENTE, CA 92672
Psychologist
616 S EL CAMINO REAL, SUITE G16
SAN CLEMENTE, CA 92672
Chiropractor
616 S EL CAMINO REAL, G3
SAN CLEMENTE, CA 92672

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 with the weekly NPPES data releases published by CMS.