Mrs Bethany Jane Decollibus, MS LMFT is a
Marriage & Family Therapist based in Kingston, Massachusetts. Mrs Bethany Jane Decollibus is licensed to practice in Massachusetts (license number 1678) and her current practice location is
182 Summer St # 226, Kingston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(781) 312-8779.
NPI number for Mrs Bethany Jane Decollibus is 1114303898 and her current mailing address is 182 Summer St # 226, Kingston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114303898.
Healthcare Provider's Profile
Full Name | Mrs Bethany Jane Decollibus |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 182 Summer St # 226, Kingston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114303898
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 03/15/2021
Medical Identifiers
Medical identifiers for Mrs Bethany Jane Decollibus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114303898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 1678 (Massachusetts) | Primary |
106H00000X | Marriage & Family Therapist | MFT00169 (Rhode Island) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Bethany Jane Decollibus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Bethany Jane Decollibus, MS LMFT 182 Summer St # 226, Kingston, MA 02364-1277 Ph: (781) 312-8779 | Mrs Bethany Jane Decollibus, MS LMFT 182 Summer St # 226, Kingston, MA 02364-1277 Ph: (781) 312-8779 |
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