Individual provider Active NPI

Franklin Benjamin Benabise Jr.

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1245913979
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704016171 Issued in VA
Practice address
718 J Clyde Morris Blvd Ste D
Newport News, VA 23601-1540
Phone
(757) 873-8566
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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 0704016171 VA Primary

Addresses

Primary practice location

718 J Clyde Morris Blvd Ste D
Newport News, VA 23601-1540

Mailing address

46 Edwards Rd
Poquoson, VA 23662-1008
Phone (808) 542-6653

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
0704016171VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fly Family Therapy, Inc. PastSince Aug 13, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1245913979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EDWARDS RD",
            "city": "POQUOSON",
            "state": "VA",
            "postal_code": "236621008",
            "telephone_number": "808-542-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 J CLYDE MORRIS BLVD STE D",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011540",
            "telephone_number": "757-873-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENABISE",
        "first_name": "FRANKLIN",
        "middle_name": "BENJAMIN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.