Organization Active NPI

Benninger & Associates

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1245957471
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BENNINGER & ASSOCIATES
Practice address
130 Northwoods Blvd Ste B
Columbus, OH 43235-7473
Phone
(614) 233-1761
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Dr. Tara L Benninger, PHDNPI 1235584285
Title
Owner/Clinical Psychologist
Phone
(614) 233-1761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

130 Northwoods Blvd Ste B
Columbus, OH 43235-7473

Mailing address

130 Northwoods Blvd Ste B
Columbus, OH 43235-7473
Phone (614) 233-1761

Other identifiers 2

IdentifierTypeStateIssuer
1235584285OtherNPI TYPE 1
0536321MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=527CE68973374140B470C02FA7654CFF Direct

National Provider Directory

National Provider Directory

Locations

130 Northwoods Blvd
Ste B
Columbus, OH 43235
Phone (614) 233-1761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1245957471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NORTHWOODS BLVD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432357473",
            "telephone_number": "614-233-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORTHWOODS BLVD STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432357473",
            "telephone_number": "614-233-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "BENNINGER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "614-233-1761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1235584285",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0536321",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=527CE68973374140B470C02FA7654CFF",
            "affiliation": "N",
            "endpointDescription": "Therapy appointment portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 Northwoods Blvd Ste B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432357473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.