Active NPI
Ben Hummell Jr., LMFT, LPC
- Professional Counselor
- Ashland, OR
National Provider Identifier
1376922351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3898
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C3898 | OR | MD | Professional Counselor |
| 83809 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Hummell LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.