Gary William Bena

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2005016662 Issued in MO

Practice address

6126 Tennessee Ave
Saint Louis, MO 63111-2323

Phone

(314) 832-1082

NPI assigned

May 8, 2008

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 MO

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tender Hearts Child Therapy Center, LLC

  • Professional Counselor
  • Cape Girardeau, MO
  • NPI 1568777910

  MO, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1285801217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6126 TENNESSEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112323",
            "telephone_number": "314-832-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 TENNESSEE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112323",
            "telephone_number": "314-832-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENA",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005016662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Belsha
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• Andrea Michelle Belstle, PHARM.D.
• Janet Elizabeth Beltz
• Merav Ben David, MD
• Benchmark Healthcare of Willowbrooke, LLC
• Adam Nikolaus Benckendorf, DO
• Andrew Benckendorf, MD
• Alyssa Bender
• Barbara Bender

• All providers in Saint Louis, MO
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.