White Pine Ventures

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

WHITE PINE VENTURES

Doing business as

White Pine Family Counseling

Practice address

63 E 1St S
Rexburg, ID 83440-1938

Phone

(801) 999-0580

NPI assigned

Jun 12, 2021

Last updated

Jun 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Herbert Benson, LMFTNPI 1801284039

Title

Ceo

Phone

(801) 999-0580

Specialties & licenses 2

Addresses

Other names 1

• White Pine Family Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Benson, MA, LMFTA

  • Marriage & Family Therapist
  • Draper, UT
  • NPI 1801284039

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1275101776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400873",
            "telephone_number": "801-999-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E 1ST S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401938",
            "telephone_number": "801-999-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE PINE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-999-0580",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Pine Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Travis J Weiszhaar, P.A.-C.
• Edwin G Wells, M.D.
• Wheeler Insurance Agency
• Regina Whelan
• White Chiropractic Clinic PLLC
• Ambrya Ande White, LCSW
• Scott C White, DC
• Adriann J Wilcox, FNP
• Genevieve Marie Wilkerson Hansen
• Scott Edmond Wilkes, D.D.S.

• Marriage & Family Therapist in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.