Joseph Benner, LPC, LADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

3519 Issued in CT

Practice address

87 S Main St Ste 14
Newtown, CT 06470-2315

Phone

(203) 666-1605

Fax

(475) 323-2144

NPI assigned

Apr 2, 2017

Last updated

Jul 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JGB Professional Counseling, LLC

  • Counselor
  • Newtown, CT
  • NPI 1306350228
  NPD Authorized official

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1104358738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 JACQUELINE DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882354",
            "telephone_number": "203-666-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S MAIN ST STE 14",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702315",
            "telephone_number": "203-666-1605",
            "fax_number": "475-323-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "JOSEPH",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-02",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1234",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "3519",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua E Baum
• Martha Harper Bean, LMFT-A
• Beayoutiful Health and Wellness Center LLC
• Curtis Hill Beck, DMD MSD
• Laura Renee Becker, MFT
• Nellie Bentz, LMT
• Harold L Berkheimer, MD
• Kaitlyn Marie Bernz, PT, DPT
• Paul Robert Berry, P.T.
• Stephanie Krok Berry, P.T.

• Counselor in Newtown, CT
• Providers in Newtown, CT by specialty
• Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.