Individual provider Active NPI

Paul Albert Bensur Jr., PHD

  • Professional Counselor
  • Meadville, PA
National Provider Identifier
1396982765
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004974 Issued in PA
Practice address
15957 Conneaut Lake Rd
7
Meadville, PA 16335-4761
Phone
(814) 807-1551
Fax
(814) 336-6411
NPI assigned
Jan 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004974 PA Primary

Addresses

Primary practice location

15957 Conneaut Lake Rd
7
Meadville, PA 16335-4761

Mailing address

11795 Pettis Rd
Meadville, PA 16335-8556
Phone (814) 807-1551

Other identifiers 1

IdentifierTypeStateIssuer
2090323OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC004974PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a Bensur Jr PHD 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": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1396982765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11795 PETTIS RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163358556",
            "telephone_number": "814-807-1551",
            "fax_number": "814-336-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15957 CONNEAUT LAKE RD",
            "address_2": "7",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354761",
            "telephone_number": "814-807-1551",
            "fax_number": "814-336-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSUR",
        "first_name": "PAUL",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "2090323",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.