Active NPI
Lindsey Rae Benolken, MA, LPCC
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1013451657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1600 University Ave W
Ste 12
Saint Paul, MN 55104-3898 - Phone
- (651) 379-5157
- Fax
- (651) 379-5159
- NPI assigned
- Dec 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01371 | MN | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1600 University Ave W
Ste 12
Saint Paul, MN 55104-3898
Mailing address
1600 University Ave W
Ste 12
Saint Paul, MN 55104-3898
Phone (651) 379-5157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01371 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsey Benolken PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gilbert, AZ
- NPI 1336935238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1013451657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "STE 12",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-379-5157",
"fax_number": "651-379-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "STE 12",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-379-5157",
"fax_number": "651-379-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENOLKEN",
"first_name": "LINDSEY",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01371",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.