Active NPI
Paul Albert Bensur Jr., PHD
- Professional Counselor
- Meadville, PA
National Provider Identifier
1396982765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2090323 | Other | PA | HIGHMARK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC004974 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
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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.