Organization Active NPI

Integrative Care Practitioners, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portersville, PA
National Provider Identifier
1457007767
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTEGRATIVE CARE PRACTITIONERS, LLC
Practice address
109 Adams LN
Portersville, PA 16051
Phone
(724) 201-4808
Fax
(724) 220-4505
NPI assigned
Feb 24, 2022
Last updated
Oct 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Ms. Jessica Benton, LCSW
Title
Owner
Phone
(724) 201-4808

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

109 Adams LN
Portersville, PA 16051

Mailing address

109 Adams LN
Portersville, PA 16051
Phone (724) 201-4808

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.integrativecarepractitioners.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230128000081 PA Part B Supplier - Clinic/Group Practice 9739550831 Receives reassigned benefits from 1 practitioner
Practice locations: Portersville, PA

National Provider Directory

National Provider Directory

Locations

109 Adams Ln
Portersville, PA 16051
Phone (724) 201-4808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1457007767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ADAMS LN",
            "city": "PORTERSVILLE",
            "state": "PA",
            "postal_code": "16051",
            "telephone_number": "724-201-4808",
            "fax_number": "724-220-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ADAMS LN",
            "city": "PORTERSVILLE",
            "state": "PA",
            "postal_code": "16051",
            "telephone_number": "724-201-4808",
            "fax_number": "724-220-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CARE PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-201-4808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.integrativecarepractitioners.com/",
            "affiliation": "N",
            "endpointDescription": "messaging through a secure portal with my EHR on my website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Adams Ln",
            "city": "Portersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.