Individual provider Active NPI

James Patrick Benson, ADC-T

  • Addiction (Substance Use Disorder) Counselor
  • Rochester, MN
National Provider Identifier
1124533070
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
TEMP Issued in MN
Practice address
2360 N Broadway
Rochester, MN 55906-4065
Phone
(507) 282-0142
Fax
(507) 282-6261
NPI assigned
Dec 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TEMP MN Primary

Addresses

Primary practice location

2360 N Broadway
Rochester, MN 55906-4065

Mailing address

2360 N Broadway
Rochester, MN 55906-4065
Phone (507) 282-0142

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1124533070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064065",
            "telephone_number": "507-282-0142",
            "fax_number": "507-282-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064065",
            "telephone_number": "507-282-0142",
            "fax_number": "507-282-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "ADC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "TEMP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.