Max Ryan Benezra, EDM, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20 Crossways Park Dr N Ste 400
Woodbury, NY 11797-2007

Phone

(516) 387-6972

NPI assigned

Apr 21, 2020

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Shore Counseling and Psychological Services, PCGroup PAC ID 5890849434, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Shore Counseling and Psychological Services P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wantagh, NY
  • NPI 1336209469
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1326668112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE STE 207",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932219",
            "telephone_number": "516-459-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSWAYS PARK DR N STE 400",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972007",
            "telephone_number": "516-387-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEZRA",
        "first_name": "MAX",
        "middle_name": "RYAN",
        "credential": "EDM, MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly E Bauer, BCBA
• Richard Alan Bauman, OPTICIAN
• Bayside Medical PC
• Lauren Beek
• Kelly Michele Behan, M.S., CCC-SLP, TSSLD
• Madeleine Elise Berg, CDN
• Malcolm Berger, PTA
• David M. Berk, D.D.S.
• Ravindra Kumar Bhachawat, M.D.
• Arpita Bhalodkar, M.D.

• Mental Health Counselor in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.