Payton Bencivenga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18880 Issued in NC

Practice address

120 Unionville Indian Trail Rd W Ste B202
Indian Trail, NC 28079-5670

Phone

(704) 234-8003

NPI assigned

Jun 23, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Stegall Counseling PLLC

  • Mental Health Counselor
  • Indian Trail, NC
  • NPI 1508529033
  NPD

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1063198174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W STE B202",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795670",
            "telephone_number": "704-234-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNIONVILLE INDIAN TRAIL RD W STE B202",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795670",
            "telephone_number": "704-234-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIVENGA",
        "first_name": "PAYTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beam and Blizzard LLC
• Beam and Blizzard, LLC
• Sam Beegle, RPH
• Miguel A Bejarano, BS RPH
• Benchmark Physical Therapy of NC, LLC
• Heather R Bennett
• Olivia Bernard
• Zachary Betters, PA
• Bilingual-Pass PLLC
• Biltmore Medical

• Mental Health Counselor in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.