Marian Ruth Benedicto, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC00431100 Issued in NJ

Practice address

2028 Lakeside Dr W
Highland Lakes, NJ 07422-1804

Phone

(973) 764-7998

Fax

(973) 764-7008

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154356673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LAKESIDE DR W",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221804",
            "telephone_number": "973-764-7998",
            "fax_number": "973-764-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 LAKESIDE DR W",
            "city": "HIGHLAND LAKES",
            "state": "NJ",
            "postal_code": "074221804",
            "telephone_number": "973-764-7998",
            "fax_number": "973-764-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICTO",
        "first_name": "MARIAN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00431100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Able Support Coordination LLC
• Advanced Institute for Mind and Emotions Inc
• Julio Alberto Barrios, MA, LAC, EDS
• Linda J Buckley, MS, RD, CDE
• Lee D Eisenberg, M.D.
• Family Treehouse ABA LLC
• Kathryn Fellows, LPC NCC
• Di Ni Fisher

• Mental Health Counselor in Highland Lakes, NJ
• Providers in Highland Lakes, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.