Stephanie Lynn Benedict

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH10852 Issued in FL

Practice address

3000 N Atlantic Ave Ste 102
Cocoa Beach, FL 32931-5045

Phone

(321) 784-5367

NPI assigned

Jun 20, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family and Pediatric Clinic

  • Counselor
  • Cocoa Beach, FL
  • NPI 1508269747
  NPD (past)
• Family and Pediatric Clinic

  • Community/Behavioral Health Agency
  • Cocoa Beach, FL
  • NPI 1538365556
  NPD (past)

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1316386683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 RIVERSIDE DR",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329203746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ATLANTIC AVE STE 102",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315045",
            "telephone_number": "321-784-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darleen Carter Barfield, ARNP
• Ramez Adel Rasmy Basily
• Gabriel Basraj, PHARMD
• Noelle Jean Bauer
• Beach Chiropractic, Inc.
• Diane K Bergau, M.D.
• Shobha Bhide
• Denise Bilder, LCSW
• Noah K Birch, FNP-C
• Brian Robert Boggs, MD

• Mental Health Counselor in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.