Active NPI
Robert David Benacci, LPC
- Professional Counselor
- Erie, PA
National Provider Identifier
1265564181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001117
- Practice address
- 2520 Hampton Rd
Erie, PA 16502-2068 - Phone
- (814) 456-2457
- Fax
- (814) 456-7679
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC001117 | PA | Primary |
Addresses
Primary practice location
2520 Hampton Rd
Erie, PA 16502-2068
Mailing address
2520 Hampton Rd
Erie, PA 16502-2068
Phone (814) 456-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1410073 | Other | PA | HIGHMARK BLUE SHIELD |
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 |
|---|---|---|---|
| PC001117 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1265564181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 HAMPTON RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165022068",
"telephone_number": "814-456-2457",
"fax_number": "814-456-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 HAMPTON RD",
"city": "ERIE",
"state": "PA",
"postal_code": "165022068",
"telephone_number": "814-456-2457",
"fax_number": "814-456-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENACCI",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1410073",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.