MAUREEN SMITH BETHEA LMFT
NPI 1790031854
Marriage & Family Therapist in Fairfax, VA

Active since July 26, 2012Opted out of Medicare · through Feb 9, 2028
10640 PAGE AVE STE 210, FAIRFAX, VA 22030(704) 614-2388 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maureen Smith Bethea Lmft NPPES

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

MAUREEN SMITH BETHEA LMFT (NPI 1790031854) is an individual marriage & family therapist in Fairfax, Virginia, licensed in Virginia (0717001248) and active in the NPI registry since July 2012. She has opted out of Medicare through February 9, 2028.

NPPES Registry Identity

NPI1790031854
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAUREEN SMITH BETHEACredential: LMFT
Location Address10640 PAGE AVE STE 210Fairfax, VA 22030-4000
Mailing Address10640 Page Ave Ste 210Fairfax, VA 22030-4000 · (703) 744-0609
Sole ProprietorYes
Enumeration DateJuly 26, 2012
Last NPPES UpdateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
NPI 1790031854 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 VA · 0717001248
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.

10640 PAGE AVE STE 210, Fairfax, VA 22030

Other Names 1

Former Name (1)Maureen Connell Smith

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Maureen Smith Bethea 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 February 9, 2024 through February 9, 2028.

Opt-Out Effective DateFebruary 9, 2024
Opt-Out In Effect ThroughFebruary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
10640 PAGE AVE STE 210
FAIRFAX, VA 22030
Marriage & Family Therapist
10640 PAGE AVE STE 210
FAIRFAX, VA 22030
Marriage & Family Therapist
10640 PAGE AVE STE 210
FAIRFAX, VA 22030
Marriage & Family Therapist
10640 PAGE AVE STE 210
FAIRFAX, VA 22030

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 Maureen Bethea's NPI number?

The NPI number for Maureen Bethea is 1790031854. It was assigned to this individual provider in the NPPES registry on July 26, 2012. The provider is also known as Maureen Connell Smith.

Where is Maureen Bethea located?

Maureen Bethea practices at 10640 Page Ave Ste 210, Fairfax, VA 22030. The listed phone number is (704) 614-2388.

What is Maureen Bethea's specialty?

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

Is Maureen Bethea enrolled in Medicare?

No. Maureen Bethea has opted out of Medicare through February 9, 2028. 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 Maureen Bethea was last updated on October 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.