Brandon Benson

Individual provider Active NPI Mental Health Counselor · Oliver Springs, TN

NPI 1386510469 · NPPES record last updated Oct 15, 2025

Key facts

NPI
1386510469
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3015 (TN)
Practice address
101 Roane St
Oliver Springs, TN 37840-1606
Phone
(865) 360-8593
Fax
(865) 360-8593
NPI assigned
Oct 15, 2025
Sex
Male
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

LicenseStateTypeSpecialty
3015TNMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 3015 TN Yes

Addresses

Primary practice location

101 Roane St
Oliver Springs, TN 37840-1606

Mailing address

507 W Outer Dr
Oak Ridge, TN 37830-3712
Phone (865) 360-8593

Other providers in Oliver Springs, TN

All providers in Oliver Springs, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.