Benley Stevenson Thompson, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1960 Washington St
Roxbury, MA 02118-3219

Phone

(617) 516-0280

Fax

(617) 516-0281

NPI assigned

Sep 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1033442843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JEROME ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556711",
            "telephone_number": "857-251-0013",
            "fax_number": "781-483-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 WASHINGTON ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021183219",
            "telephone_number": "617-516-0280",
            "fax_number": "617-516-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENLEY",
        "middle_name": "STEVENSON",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHL PROVIDER NUMBER",
            "identifier": "452055800",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.