BETHANY KIENTZEL
NPI 1902201072
Marriage & Family Therapist in Santa Cruz, CA

Active since October 30, 2014PECOS Enrolled
340 SOQUEL AVE STE 105, SANTA CRUZ, CA 95062(831) 429-6399 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany Kientzel NPPES

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

BETHANY KIENTZEL (NPI 1902201072) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (10221072) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aptos, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902201072
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameBETHANY KIENTZEL
Location Address340 SOQUEL AVE STE 105Santa Cruz, CA 95062-2328
Mailing AddressPo Box 3343Santa Cruz, CA 95063-3343 · (831) 429-6399
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 30, 2014
Last NPPES UpdateMarch 17, 2018
NPI 1902201072 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 · 10221072
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.
340 SOQUEL AVE STE 105, Santa Cruz, CA 95062

Secondary Practice Location 1

Location 16233 Soquel DrAptos, CA 95003-3184 · Phone (831) 784-5662

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bethany Kientzel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183111602
PECOS Enrollment IDI20251016003791
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kientzel's NPI number?

The NPI number for Bethany Kientzel is 1902201072. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Bethany Kientzel located?

Bethany Kientzel practices at 340 Soquel Ave Ste 105, Santa Cruz, CA 95062. The listed phone number is (831) 429-6399.

What is Bethany Kientzel's specialty?

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

Is Bethany Kientzel enrolled in Medicare?

Yes. Bethany Kientzel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Kientzel was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.