Individual provider Active NPI

Benita Shene Weems, LMHCA

  • Mental Health Counselor
  • Federal Way, WA
National Provider Identifier
1417577297
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
33710 9TH Ave S Ste 15
Federal Way, WA 98003-6734
Phone
(407) 616-9027
NPI assigned
Apr 21, 2020
Reactivated
Feb 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

33710 9TH Ave S Ste 15
Federal Way, WA 98003-6734

Mailing address

11708 SE 233Rd PL
Kent, WA 98031-3764
Phone (407) 616-9027

Other practice location 1

24909 104th Ave SE Ste 101A
Kent, WA 98030-2819
Phone (407) 616-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 9, 2024 through Feb 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1417577297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11708 SE 233RD PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313764",
            "telephone_number": "407-616-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33710 9TH AVE S STE 15",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036734",
            "telephone_number": "407-616-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24909 104th Ave SE Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980302819",
            "country_code": "US",
            "telephone_number": "407-616-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEMS",
        "first_name": "BENITA",
        "middle_name": "SHENE",
        "name_prefix": "Mrs.",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-02-15",
        "certification_date": "2020-04-21",
        "deactivation_date": "2024-02-08",
        "reactivation_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.