Active NPI
Benjamin Bevis, MA LAMFT
- Marriage & Family Therapist
- Chaska, MN
National Provider Identifier
1245476316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1860
- Practice address
- 566 Bavaria LN
Chaska, MN 55318-4597 - Phone
- (952) 448-3625
- Fax
- (952) 448-3625
- NPI assigned
- Dec 19, 2008
- Last updated
- Dec 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1860 | MN | Primary |
Addresses
Primary practice location
566 Bavaria LN
Chaska, MN 55318-4597
Mailing address
PO Box 71
Chaska, MN 55318-0071
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1860 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross-Generation | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1245476316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "CHASKA",
"state": "MN",
"postal_code": "553180071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 BAVARIA LN",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184597",
"telephone_number": "952-448-3625",
"fax_number": "952-448-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVIS",
"first_name": "BENJAMIN",
"credential": "MA LAMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-19",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
- Jessica Beck, M.S. CCC-SLP
- Michael Ray Beckman, PT
- Samantha Bendzick
- Laura Lee Bergjord, MSW LICSW
- Brittany Bergstrom
- Lindsay Pfeifer Bevis, DDS
- Bhatti Gastroenterology Consultants, P.a.
- Bhatti Gi Surgery Center LLC
- Ahsan M Bhatti, MD
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Kidney Care Chaska)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.