Individual provider Active NPI

Krista Ann Benedict

  • Social Worker
  • Marysville, OH
National Provider Identifier
1407345390
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
715 S Plum St
Marysville, OH 43040-1631
Phone
(937) 644-9192
NPI assigned
May 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

715 S Plum St
Marysville, OH 43040-1631

Mailing address

715 S Plum St
Marysville, OH 43040-1631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220823004182 OH Practitioner - Clinical Social Worker 2062895097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryhaven IncGroup PAC ID 8527281658, 10 clinicians

Practice addresses (Care Compare)

17853 State Route 31
Suite B
Marysville, OH 43040-8835
Phone (937) 578-4004

1791 Alum Creek Dr
Columbus, OH 43207-1708
Phone (614) 445-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. Social Worker CurrentSince Jul 26, 2022 Accepting new patients
Maryhaven Inc. Single Specialty CurrentSince Mar 1, 2025 Accepting new patients

Locations

118 Maple Ave
Bellefontaine, OH 43311
Phone (937) 599-1975

1791 Alum Creek Dr
Columbus, OH 43207

715 S Plum St
Marysville, OH 43040
Phone (937) 644-9192

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Organizations & group practices 3

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1407345390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S PLUM ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401631",
            "telephone_number": "937-644-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

Verify at the official NPI Registry.