Todd A Benson, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60081261 Issued in WA

Practice address

340 NE Maple St
Pullman, WA 99163-4120

Phone

(509) 334-1133

NPI assigned

Jun 12, 2018

Last updated

Sep 7, 2022By 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 2

Addresses

Other identifiers 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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1356834543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634120",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634120",
            "telephone_number": "509-334-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60081261",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "CG61105894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y99995L",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Becker, PA-C
• Ava Bell
• Heidi Herndon Benjamin, MED
• Sarah Benner, AU.D.
• Barbara Bennett-Wolcott, ARNP
• Stephen C Bergmann, M.D.
• Andrea Megan Berry, LMP
• Julian Jason Bilger
• Jessica Joy Billings, LMHC ASSOCIATE
• Jason Lee Blackham, M.D.

• Addiction (Substance Use Disorder) Counselor in Pullman, WA
• Providers in Pullman, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.