Matthew Russell Benson, LMFT
Individual provider Active NPI Marriage & Family Therapist · Scottsdale, AZ
NPI 1215799804 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1215799804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-16013 (AZ)
- Practice address
- 8737 E Via de Commercio Ste 200
Scottsdale, AZ 85258-3595 - Phone
- (480) 888-5380
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Feb 15, 2024 through Feb 15, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-16013 | AZ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy With Heart | Marriage & Family Therapist | Current |
Accepting new patients |
| Therapy With Heart | Marriage & Family Therapist | Past |
Accepting new patients |
Locations
8737 E Via de Commercio
Ste 200
Scottsdale, AZ 85258
Phone (480) 203-7165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-16013 | AZ | Yes |
Addresses
Primary practice location
8737 E Via de Commercio Ste 200
Scottsdale, AZ 85258-3595
Mailing address
8737 E Via de Commercio Ste 200
Scottsdale, AZ 85258-3595
Phone (480) 888-5380
Other providers in Scottsdale, AZ
- Josephine Bennion
- Tessa Marie Bennion
- Benson Chiropractic PLLC
- Kevin K Benson
- Levi Benson
- Brooke Bentley
- Jessica Marie Bento
- Toby Sara Benton
- Cecilia L Benz
- Ruth Benzar
All providers in Scottsdale, AZ · Marriage & Family Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.