Active NPI
Alzada L. Benton, MSED., LPC-S
- Professional Counselor
- Dallas, TX
National Provider Identifier
1003195132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63335
- Practice address
- 8828 N Stemmons Fwy Ste 225
Dallas, TX 75247-3745 - Phone
- (469) 227-7847
- NPI assigned
- Aug 7, 2011
- Last updated
- Aug 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63335 | TX | Primary |
Addresses
Primary practice location
8828 N Stemmons Fwy Ste 225
Dallas, TX 75247-3745
Mailing address
743 Mulberry CT
Red Oak, TX 75154-4227
Phone (972) 740-6117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63335 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312675200000",
"number": "1003195132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 MULBERRY CT",
"city": "RED OAK",
"state": "TX",
"postal_code": "751544227",
"telephone_number": "972-740-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8828 N STEMMONS FWY STE 225",
"city": "DALLAS",
"state": "TX",
"postal_code": "752473745",
"telephone_number": "469-227-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "ALZADA",
"middle_name": "L.",
"credential": "MSED., LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-07",
"last_updated": "2011-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.