Individual provider Active NPI

Benjamin Luskin, LPC, CPC

  • Social Worker
  • Eugene, OR
National Provider Identifier
1164792933
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
476 E 32ND Ave
Eugene, OR 97405-3759
Phone
(541) 999-1217
NPI assigned
Jan 10, 2012
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5799 OR
Social Worker 104100000X NU Primary

Addresses

Primary practice location

476 E 32ND Ave
Eugene, OR 97405-3759

Mailing address

476 E 32ND Ave
Eugene, OR 97405-3759
Phone (541) 999-1217

Other practice location 1

20 E 13th Ave
Eugene, OR 97401-3535
Phone (541) 999-1217

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

LicenseStateTypeSpecialty
C5799ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1164792933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E 32ND AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053759",
            "telephone_number": "541-999-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E 32ND AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053759",
            "telephone_number": "541-999-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974013535",
            "country_code": "US",
            "telephone_number": "541-999-1217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSKIN",
        "first_name": "BENJAMIN",
        "credential": "LPC, CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5799",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.