Individual provider Active NPI

Debra R Benz

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1164689717
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
I-0007737 Issued in OH
Practice address
8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Phone
(513) 861-9797
Fax
(513) 861-3510
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I-0007737 OH Primary

Addresses

Primary practice location

8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901

Mailing address

8040 Hosbrook Rd
Suite 320
Cincinnati, OH 45236-2901
Phone (513) 861-9797

Other identifiers 1

IdentifierTypeStateIssuer
2846595MedicaidOH

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1164689717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD",
            "address_2": "SUITE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362901",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 HOSBROOK RD",
            "address_2": "SUITE 320",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362901",
            "telephone_number": "513-861-9797",
            "fax_number": "513-861-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZ",
        "first_name": "DEBRA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I-0007737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.