Active NPI
Patricia P Benzenhafer, LCPC
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1295746964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7112
- Practice address
- 5 Oak Branch Dr
Suite B
Greensboro, NC 27407-2169 - Phone
- (336) 297-9009
- Fax
- (336) 297-0062
- NPI assigned
- Aug 10, 2006
- Last updated
- Nov 6, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.005972 | IL | |
| Professional Counselor | 101YP2500X | 7112 | NC | Primary |
Addresses
Primary practice location
5 Oak Branch Dr
Suite B
Greensboro, NC 27407-2169
Mailing address
1818 Guyer St.
Unit B
High Point, NC 27265
Phone (618) 420-4639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104021 | Medicaid | NC |
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 |
|---|---|---|---|
| 180.005972 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1295746964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 GUYER ST.",
"address_2": "UNIT B",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27265",
"telephone_number": "618-420-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 OAK BRANCH DR",
"address_2": "SUITE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274072169",
"telephone_number": "336-297-9009",
"fax_number": "336-297-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZENHAFER",
"first_name": "PATRICIA",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.005972",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104021",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.