Susan Helen Benjaminsen, M.A., LMFT
Individual provider Active NPI Marriage & Family Therapist · Westbrook, ME
NPI 1104070481 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1104070481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MF5179 (ME)
- Practice address
- 246 E Bridge St Apt 47
Westbrook, ME 04092-4806 - Phone
- (213) 280-4633
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Counseling Center of Nashua Inc
Practice addresses (Care Compare)
10 Market St
Suite 205
Scarborough, ME 04074-7683
Phone (207) 503-3583
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250730001842 | ME | Practitioner - Marriage and Family Therapist | 0840707170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35116 | CA | MD | Marriage & Family Therapist |
| MF5179 | ME | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Center of Nashua Inc | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648
10 Market St
Ste 205
Scarborough, ME 04074
Phone (207) 503-3583
1 Main St
Nashua, NH 03064
Phone (603) 689-7978
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC35116 | CA | |
| Marriage & Family Therapist | 106H00000X | MF5179 | ME | Yes |
Addresses
Primary practice location
246 E Bridge St Apt 47
Westbrook, ME 04092-4806
Mailing address
246 E Bridge St Apt 47
Westbrook, ME 04092-4806
Phone (207) 420-0716
Other practice location 1
119 W Lomita Ave
Apt. 2
Glendale, CA 91204-1750
Phone (213) 280-4633
Other providers in Westbrook, ME
- Whitney Bean
- Paula Beaulieu
- Kate Beever
- Lori Beisel
- Ellen Catherine Bell
- Kristen Kathleen Bennett
- Best Friend Home Care LLC
- Beyond Residential Care
- Karen Bickford
- Bio-Medical Applications of Maine, Inc.
All providers in Westbrook, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.