MEDICARE: MARTHA ROSE HALL BETHEA MA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0020883	CO
2	101YM0800X	Mental Health Counselor	14230500-6004	UT

General Provider Information

NPI Number	:	1720631807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ROSE HALL BETHEA MA LPC

Provider Business Mailing Address
First Line	:	1805 N 1200 E
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-3404
Country	:	US
Telephone Number	:	719-644-6950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 N 1200 E
Second Line	:
City	:	HEBER CITY
State	:	UT
Zip	:	84032-3404
Country	:	US
Telephone Number	:	719-644-6950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2019
Last Update Date	:	04/15/2026

Similar Medicare Providers

1972582534 — DR. GRANVILLE LEROY VAUGHAN III M.D.
Practice Location Address:

2225 HIGHWAY 110 W
HEBER SPRINGS, AR
72543-3404

Practice Phone: 501-326-0048
Practice Fax: 501-362-8815

1255371753 — FAMILY MEDICAL CARE, PA
Practice Location Address:

2225 HIGHWAY 110 W
HEBER SPRINGS, AR
72543-3404

Practice Phone: 501-362-0048
Practice Fax: 501-362-8815

1073644753 — DAVID E. EADES DDS
Practice Location Address:

2217 HIGHWAY 110 W
HEBER SPRINGS, AR
72543-3404

Practice Phone: 501-362-2962
Practice Fax: 501-362-6822

1043046261 — MRS. ASHLEY RAEDEANE BAUREIS APRN
Practice Location Address:

2225 HIGHWAY 110 W
HEBER SPRINGS, AR
72543-3404

Practice Phone: 501-362-0048
Practice Fax:

1336739952 — ELIZABETH SCOUTE CRIST BCBA
Practice Location Address:

128 LEY CT
PEARL CITY, HI
96782-3404

Practice Phone: 530-643-1308
Practice Fax:

1538161971 — CHAUTAUQUA GUEST HOMES, INC.
Practice Location Address:

602 11TH ST
CHARLES CITY, IA
50616-3404

Practice Phone: 641-228-2353
Practice Fax: 641-228-5264

Directions to “ MARTHA ROSE HALL BETHEA MA LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.