Phyllis Benjamin, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

74029 Issued in TX

Practice address

2115 Teakwood LN
400
Plano, TX 75075-4421

Phone

(972) 985-9579

NPI assigned

Dec 18, 2015

Last updated

Dec 18, 2015By the provider in NPPES

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

Credentials

Doctor of Philosophy

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

• DMN&a's LLC

  dba Wellsprings Center for Counseling Services

  • Professional Counselor
  • Plano, TX
  • NPI 1144607318
  NPD (past)

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1356706345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 TEAKWOOD LN",
            "address_2": "400",
            "city": ".PLANO",
            "state": "TX",
            "postal_code": "750754433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 TEAKWOOD LN",
            "address_2": "400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754421",
            "telephone_number": "972-985-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "PHYLLIS",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lee Williams Beneski, M.D.
• Yacine Benhacene, PT
• Robert W Benigar Jr, MD
• Racheal Benitez, APRN, NNP-BC
• Halen Benjamin, NP
• Courtney Bennett Spland, LPC
• Jade Bennett, PHD, LP, LSP
• Jessica Dale Bennett, COTA
• Ryan Bennett, BC-HIS
• Michelle Renee Benoit, SLP

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.