Eric Benner, LP MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014127 Issued in NY

Practice address

106 S Perry St
Watkins Glen, NY 14891-1636

Phone

(607) 535-8282

NPI assigned

Mar 20, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Schuyler County Mental HealthGroup PAC ID 8527970177, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Schuyler County Mental Health

  • Clinical Social Worker
  • Watkins Glen, NY
  • NPI 1003869165
  Medicare reassignment Care Compare group NPD
• Schuyler County

  • Ambulance
  • Watkins Glen, NY
  • NPI 1205544012
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1023710431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST STE 4",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911636",
            "telephone_number": "607-535-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911636",
            "telephone_number": "607-535-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "ERIC",
        "credential": "LP MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Bailey
• Danielle Elizabeth Baker, R.N.
• John H Ball
• Shelley Beaumont, RPN
• Ronald J Beligotti, D.C.
• Michelle Berliss, PHD
• Cassondra Besemer, LMSW
• Barbara L Besley, RPN
• Brian Eugene Bleiler, OD
• Tyler John Bogardus

• Mental Health Counselor in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.