Individual provider Active NPI

Ben Hummell Jr., LMFT, LPC

  • Professional Counselor
  • Ashland, OR
National Provider Identifier
1376922351
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C3898 Issued in OR
Practice address
149 Clear Creek Dr Unit 102
Ashland, OR 97520-1882
Phone
(541) 201-8115
Fax
(541) 241-8447
NPI assigned
May 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 83809 CA
Professional Counselor 101YP2500X C3898 OR Primary

Addresses

Primary practice location

149 Clear Creek Dr Unit 102
Ashland, OR 97520-1882

Mailing address

149 Clear Creek Dr Unit 102
Ashland, OR 97520-1882
Phone (541) 201-8115

Other practice location 1

232 E Blithedale Ave
Suite 201
Mill Valley, CA 94941-2063
Phone (415) 299-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217004154 CA Practitioner - Marriage and Family Therapist 0749726784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Thousand Oaks, CA 91360
Phone (512) 785-1600

592 W Avenida de Las Flores
Thousand Oaks, CA 91360-1506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3898ORMDProfessional Counselor
83809CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Hummell LLC CurrentSince Jan 6, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1376922351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR UNIT 102",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201882",
            "telephone_number": "541-201-8115",
            "fax_number": "541-241-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR UNIT 102",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201882",
            "telephone_number": "541-201-8115",
            "fax_number": "541-241-8447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 E Blithedale Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412063",
            "country_code": "US",
            "telephone_number": "415-299-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMELL",
        "first_name": "BEN",
        "name_suffix": "Jr.",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-24",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83809",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.