Individual provider Active NPI

Tiana Benton, LMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1205449519
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 East Lenox St
#506
Boston, MA 02118-0211
Phone
(774) 287-3839
NPI assigned
Aug 26, 2020
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 10001014 MA
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

11 East Lenox St
#506
Boston, MA 02118-0211

Mailing address

11 East Lenox St
#506
Boston, MA 02118-3517
Phone (774) 287-3839

Other practice location 1

2 Epping St
Millbury, MA 01527-3517
Phone (774) 287-3839

Other practice location 2

2 Epping St
Millbury, MA 01527-3517
Phone (774) 287-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240422001862 MA Practitioner - Mental Health Counselor 8921447046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10001014MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 16, 2024 Accepting new patients
Dothouse Health Inc. Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

1353 Dorchester Ave
Dorchester, MA 02122
Phone (617) 288-3230

Interoperability endpoints

  • Direct secure messaging: tbenton240014@direct.bmc.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1205449519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAST LENOX ST",
            "address_2": "#506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183517",
            "telephone_number": "774-287-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAST LENOX ST",
            "address_2": "#506",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021180211",
            "telephone_number": "774-287-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Epping St",
            "address_purpose": "LOCATION",
            "city": "Millbury",
            "state": "MA",
            "postal_code": "015273517",
            "country_code": "US",
            "telephone_number": "774-287-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Epping St",
            "address_purpose": "LOCATION",
            "city": "Millbury",
            "state": "MA",
            "postal_code": "015273517",
            "country_code": "US",
            "telephone_number": "774-287-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "TIANA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10001014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.