Individual provider Active NPI

Jacquelyn Denise Beniquez, LMHC

  • Counselor
  • Albany, NY
National Provider Identifier
1043479454
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001784-1 Issued in NY
Practice address
10 McKown Rd Ste 102
Albany, NY 12203-3496
Phone
(518) 210-7707
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001784-1 NY Primary

Addresses

Primary practice location

10 McKown Rd Ste 102
Albany, NY 12203-3496

Mailing address

162 Cedarview LN
Watervliet, NY 12189-2954
Phone (518) 210-7707

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

LicenseStateTypeSpecialty
001784-1NYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1043479454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CEDARVIEW LN",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892954",
            "telephone_number": "518-210-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCKOWN RD STE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033496",
            "telephone_number": "518-210-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIQUEZ",
        "first_name": "JACQUELYN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "001784-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.