Active NPI
Hannah Rose Benson, MA
- Behavior Analyst
- Fort Wayne, IN
National Provider Identifier
1043046493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77807
- Practice address
- 1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723 - Phone
- (260) 702-9141
- NPI assigned
- Sep 11, 2024
- 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 | |||
| Behavior Analyst | 103K00000X | 1-24-77807 | IN | Primary |
Addresses
Primary practice location
1400 Airport North Office Park Ste D
Fort Wayne, IN 46825-6723
Mailing address
127 Heenan St
Corunna, IN 46730-1006
Phone (630) 877-7760
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1043046493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 HEENAN ST",
"city": "CORUNNA",
"state": "IN",
"postal_code": "467301006",
"telephone_number": "630-877-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 AIRPORT NORTH OFFICE PARK STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468256723",
"telephone_number": "260-702-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "HANNAH",
"middle_name": "ROSE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-24-77807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.