Elizabeth Benson, LMFT, LPCC
Individual provider Active NPI Marriage & Family Therapist · Homer, AK
NPI 1366643181 · NPPES record last updated Dec 20, 2016
Key facts
- NPI
- 1366643181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 48672 (CA)
- Practice address
- 4105 Kachemak Way
Homer, AK 99603-7164 - Phone
- (707) 357-5524
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 171 | CA | MD | Professional Counselor |
| MFC 48672 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | MFC 48672 | CA | Yes |
| Professional Counselor | 101YP2500X | LPC 171 | CA |
Addresses
Primary practice location
4105 Kachemak Way
Homer, AK 99603-7164
Mailing address
PO Box 276
Homer, AK 99603-0276
Phone (707) 357-5524
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12456218 | Other | DC | CAQH |
Other providers in Homer, AK
- Sharon Elisa McKemie Bauer
- Mary S Bautista
- Joseph Bechtol
- William Harrison Bell
- Kirsti Bendixen
- Annamaria Sitenga Bernards
- Sabrena Delight Berryman
- Bonnie Betley
- Ivy Lynn Betts
- Johnnalyn Bishop
All providers in Homer, AK · Marriage & Family Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.