Active NPI
Michael Paul Benson
- Counselor
- Espanola, NM
National Provider Identifier
1154693117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0145591
- Practice address
- 612 N. Paseo de Peralta
Espanola, NM 87532-2963 - Phone
- (505) 753-2203
- NPI assigned
- Feb 6, 2012
- Last updated
- May 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0145591 | NM | Primary |
Addresses
Primary practice location
612 N. Paseo de Peralta
Espanola, NM 87532-2963
Mailing address
PO Box 2891
Espanola, NM 87532-4891
Phone (505) 920-0092
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0145591 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1154693117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2891",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875324891",
"telephone_number": "505-920-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 N. PASEO DE PERALTA",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322963",
"telephone_number": "505-753-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0145591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.