Individual provider Active NPI

Chelsea Bengyak, MA, LMFT, CATC-IV

  • Marriage & Family Therapist
  • Medway, MA
National Provider Identifier
1326426636
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117048 Issued in CA
Practice address
21 Cottage St
Medway, MA 02053-1549
Phone
(714) 727-7437
NPI assigned
May 7, 2015
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Marriage & Family Therapist 106H00000X NU
Marriage & Family Therapist 106H00000X 117048 CA Primary

Addresses

Primary practice location

21 Cottage St
Medway, MA 02053-1549

Mailing address

21 Cottage St
Medway, MA 02053-1549
Phone (714) 727-7437

Other identifiers 1

IdentifierTypeStateIssuer
190077AHNMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260527002789 CA Practitioner - Marriage and Family Therapist 1658841077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 W Broadway
Suite 400
San Diego, CA 92101-3554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
117048CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuehl Therapeutic Services, Inc Marriage & Family Therapist CurrentSince Dec 18, 2022 Accepting new patients
Substance Abuse Foundation of Long Beach Past Accepting new patients
Safe Refuge Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1326426636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 COTTAGE ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531549",
            "telephone_number": "714-727-7437",
            "fax_number": "562-987-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COTTAGE ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531549",
            "telephone_number": "714-727-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGYAK",
        "first_name": "CHELSEA",
        "credential": "MA, LMFT, CATC-IV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190077AHN",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

Verify at the official NPI Registry.