Stacey Bennington, ED.S., CMS-CHT

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

NLC.0106086 Issued in CO

Practice address

12837 W Arizona PL
Lakewood, CO 80228-3558

Phone

(303) 881-6491

NPI assigned

Feb 27, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1336733518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12837 W ARIZONA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283558",
            "telephone_number": "303-881-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12837 W ARIZONA PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283558",
            "telephone_number": "303-881-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGTON",
        "first_name": "STACEY",
        "credential": "ED.S., CMS-CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CO",
            "license": "NLC.0106086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://my.practicebetter.io/",
            "affiliation": "N",
            "address_1": "12837 W Arizona Pl",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802283558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Alec Benge
• Kelly Jacob Beninga, MA, CHT
• Catherine Flessas Bennett, LPCC, NCC
• Morgan S Bennett, BSN, RN
• Sera Bennett
• Kendell Bennion
• Alexander B. Benson, M.D.
• Kelly Diane Benson, OTR/L
• Kjell Andrew Benson, MD
• Mary Elizabeth Benson, P.T.A.

• School Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• School Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.