Individual provider Active NPI

Benita Munson, M.S., LPC

  • Counselor
  • Portland, OR
National Provider Identifier
1356700629
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C4534 Issued in OR
Practice address
5319 SW Westgate Dr Ste 241
Portland, OR 97221-2432
Phone
(503) 360-6656
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 14-12-21 OR
Addiction (Substance Use Disorder) Counselor 101YA0400X C4534 OR
Counselor 101Y00000X C4534 OR Primary

Addresses

Primary practice location

5319 SW Westgate Dr Ste 241
Portland, OR 97221-2432

Mailing address

7810 SW Gearhart Dr
Beaverton, OR 97007-5979
Phone (503) 360-6656

Other practice location 1

811 NW 19th Ave
Suite 301D
Portland, OR 97209-1401
Phone (503) 360-6656

Other names 1

  • Benita Katrin Bellrichard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 5, 2025 through Dec 5, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C4534ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1356700629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 SW GEARHART DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970075979",
            "telephone_number": "503-360-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 241",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "503-360-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 NW 19th Ave",
            "address_2": "Suite 301D",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972091401",
            "country_code": "US",
            "telephone_number": "503-360-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "BENITA",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "14-12-21",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "C4534",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENITA",
            "last_name": "BELLRICHARD",
            "middle_name": "KATRIN",
            "credential": "M.S., LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.