Active NPI
Kathleen Benton
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1255747689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-16953
- Practice address
- 4909 E McDowell Rd
Phoenix, AZ 85008-7735 - Phone
- (602) 685-6000
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC14355 | AZ | |
| Professional Counselor | 101YP2500X | LPC-16953 | AZ | Primary |
Addresses
Primary practice location
4909 E McDowell Rd
Phoenix, AZ 85008-7735
Mailing address
4909 E McDowell Rd
Phoenix, AZ 85008-7735
Phone (602) 685-6000
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC14355 | AZ | MD | Counselor |
| LPC-16953 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1255747689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087735",
"telephone_number": "602-685-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087735",
"telephone_number": "602-685-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC14355",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-16953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.