Individual provider Active NPI

Richard Leland Benson, PHD

  • Psychologist
  • Overland Park, KS
National Provider Identifier
1083718290
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP1343 Issued in KS
Practice address
8826 Santa Fe Dr
Ste 170
Overland Park, KS 66212-3655
Phone
(913) 438-2100
Fax
(913) 438-2119
NPI assigned
Sep 8, 2006
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY01747 MO
Psychologist 103T00000X LP1343 KS Primary

Addresses

Primary practice location

8826 Santa Fe Dr
Ste 170
Overland Park, KS 66212-3655

Mailing address

8826 Santa Fe Dr
Ste 170
Overland Park, KS 66212-3655
Phone (913) 438-2100

Other identifiers 2

IdentifierTypeStateIssuer
17459019OtherMOBLUE CROSS BLUE SHIELD
17459019OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212002873 KS Practitioner - Clinical Psychologist 4880637628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Kansas City, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Leawood, KS 66224
Phone (913) 596-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1343KSMDAddiction (Substance Use Disorder) Counselor
LP1343KSMDPsychologist
PY01747MOMDPsychologist
01747MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Benson PHD PA Psychologist CurrentSince Feb 12, 2018 Accepting new patients

Locations

5750 W 95th St
Ste 320
Overland Park, KS 66207
Phone (913) 596-8808

8826 Santa Fe Dr
Ste 170
Overland Park, KS 66212
Phone (913) 438-2100

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1083718290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR",
            "address_2": "STE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 SANTA FE DR",
            "address_2": "STE 170",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662123655",
            "telephone_number": "913-438-2100",
            "fax_number": "913-438-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RICHARD",
        "middle_name": "LELAND",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PY01747",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "LP1343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17459019",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17459019",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.