Healthcare Provider Details

I. General information

NPI: 1013827658
Provider Name (Legal Business Name): BETHANY NICOLE WILMETH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11892 HILLTOP RD
PARKER CO
80134-6019
US

IV. Provider business mailing address

6368 VISTA CLIFF LOOP
CASTLE ROCK CO
80104-5522
US

V. Phone/Fax

Practice location:
  • Phone: 330-348-7642
  • Fax:
Mailing address:
  • Phone: 330-348-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0025346
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: