MRS. BETHANY JANE DECOLLIBUS M.S. LMFT NPI 1114303898

NPI Information

  • NPI: 1114303898
  • Provider Name: MRS. BETHANY JANE DECOLLIBUS, M.S. LMFT
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 182 SUMMER ST # 226
    KINGSTON, MA
    ZIP 02364
  • Phone: (781) 312-8779

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NPI Details

MRS. Bethany Jane Decollibus, M.S. LMFT is a marriage family therapist in Kingston, MA. The provider is 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. MRS. Bethany Jane Decollibus, M.S. LMFT NPI is 1114303898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

182 SUMMER ST # 226
KINGSTON, MA
ZIP 02364-277
Phone: (781) 312-8779

The enumeration date for this NPI number is 8/5/2015 and was last updated on 3/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistMFT00169RHODE ISLANDNo
2106H00000XMarriage & Family Therapist1678MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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