Active NPI
Kurt P Benson, PHD
- Counseling Psychologist
- Sheridan, WY
National Provider Identifier
1073536801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 330
- Practice address
- 1898 Fort Road
Sheridan VA Medical Center
Sheridan, WY 82807 - Phone
- (307) 675-3349
- NPI assigned
- Jul 25, 2006
- Last updated
- May 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 330 | MT | Primary |
Addresses
Primary practice location
1898 Fort Road
Sheridan VA Medical Center
Sheridan, WY 82807
Mailing address
PO Box 7001
Sheridan, WY 82801-7001
Phone (307) 675-3349
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330 | MT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Dept of HHS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1073536801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828017001",
"telephone_number": "307-675-3349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 FORT ROAD",
"address_2": "SHERIDAN VA MEDICAL CENTER",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "82807",
"telephone_number": "307-675-3349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "KURT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MT",
"license": "330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.