Justina Lee Benamara, PMHNP, MSN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024191757 Issued in VA

Practice address

158 Front Royal Pike Ste 206
Winchester, VA 22602-4324

Phone

(540) 304-6533

NPI assigned

Dec 16, 2024

Last updated

Dec 16, 2024By 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

Other names 1

• Justina Lee Merican Other name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bloomhealthcenters.justinabenamara@131200.advancedmd-direct.com

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.

• Psych Associates of Maryland LLC

  dba Bloom Health Centers

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC, VA

  Medicare reassignment NPD
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD (past)

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1366259111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CULPEPER ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863003",
            "telephone_number": "609-937-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FRONT ROYAL PIKE STE 206",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024324",
            "telephone_number": "540-304-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAMARA",
        "first_name": "JUSTINA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "MERICAN",
            "middle_name": "LEE",
            "credential": "MARRIED NAME- RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Belkin, LPC
• Bonnie Elizabeth Bell
• Theresa T. Bell, M.S.
• Marguerite Bellavance
• Beltone Hearing Centers of Virginia LLC
• Benchmark Physical Therapy of VA, LLC
• Emily Bender, RN/BSN IBCLC
• William J. Bender, M.D.
• Ryan Benito
• Benjamin L. Tolley, D.D.S., P.C.

• Psychiatric/Mental Health Nurse Practitioner in Winchester, VA
• Providers in Winchester, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.