Benita J. Mason, NC CERTIFIED PEER SU

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

2024-12692-01 Issued in NC

Practice address

7422 Saddle Trail LN
Charlotte, NC 28269-6141

Phone

(919) 730-8840

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Benita Jenkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1144045857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 SADDLE TRAIL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696141",
            "telephone_number": "919-730-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7422 SADDLE TRAIL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696141",
            "telephone_number": "919-730-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "BENITA",
        "middle_name": "J.",
        "credential": "NC CERTIFIED PEER SU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "2024-12692-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "JENKINS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Masi, DPT
• Mask Off Therapeutic PLLC
• Lisa Wohlbruck Mask, LPC,NCC,RN
• Douglas Joseph Maslowski
• Mason & Mincey OD PA
• Caitlin Elizabeth Mason, RBT
• Catherine Adams Mason, O.D.
• Denise Simone Mason, MSW, LCSW
• Gail L Mason, RPH
• Joe L Mason Jr., D.M.D.

• Peer Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.