Audrey Jane Bengtson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61019437 Issued in WA

Practice address

3773 Martin Way E Ste 107
Olympia, WA 98506-4400

Phone

(360) 688-7312

Fax

(360) 688-7318

NPI assigned

Jan 23, 2020

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

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.

• Northwest Resources II

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
  • NPI 1164586210
  NPD (past)
• Northwest Resources II

  • Addiction (Substance Use Disorder) Counselor
  • Olympia, WA
  • NPI 1427488113
  NPD (past)
• Northwest Resources II

  • Addiction (Substance Use Disorder) Counselor
  • Shelton, WA
  • NPI 1770647778
  NPD (past)
• Northwest Resources II

  • Professional Counselor
  • Olympia, WA
  • NPI 1821524422

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1083244644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 TIPSOO LOOP S",
            "city": "RAINIER",
            "state": "WA",
            "postal_code": "985769745",
            "telephone_number": "360-359-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3773 MARTIN WAY E STE 107",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064400",
            "telephone_number": "360-688-7312",
            "fax_number": "360-688-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "AUDREY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61019437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca Marisol Beltran James
• Alexa Davey Belville, RN
• Carmen Bemiller, M.S., CCC-SLP
• Ghazi Mahmoud Ben Kura, DDS MDS
• Marie T Bendig, LMHC
• Laia Danielle Benitez
• Yesenia Benitez
• Benjamin Medical PLLC
• Benjamin Wellness, PLLC
• Brandon Benjamin, LAC, LMT

• Addiction (Substance Use Disorder) Counselor in Olympia, WA
• Providers in Olympia, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.