Frederick Samuel Benner, PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC003860 Issued in PA

Practice address

27 N Brown St
Lewistown, PA 17044-1734

Phone

(717) 242-1428

Fax

(717) 248-1937

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Practitioners 1

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

• Susan Taylor, LPC

  • Professional Counselor
  • Lewistown, PA
  • NPI 1770283285
  Medicare reassignment

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.

• Brighter Visions Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewistown, PA
  • NPI 1104226117
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1265463616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 HAPPY HOLLOW RD",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170598230",
            "telephone_number": "717-242-1428",
            "fax_number": "717-248-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N BROWN ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441734",
            "telephone_number": "717-242-1428",
            "fax_number": "717-248-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "FREDERICK",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Battey, CNM
• Jessica R. Bauman, PA-C
• John J Bauman, DDS
• Justin William Beamer, O.D.
• Carly Lyn Belko
• Gabrielle Benner, CRNP
• Jill Marie Benner, RN
• Best Rate Dictation & Transcription Inc
• Joseph Kyle Betz, M.D.
• Ellen Beward, LCSW

• Professional Counselor in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.