Individual provider Active NPI

Erica Lynn Bench, LPC, LMHC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1477753994
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.015513 Issued in IL
Practice address
1740 Ridge Ave Ste 208
Evanston, IL 60201-5909
Phone
(816) 289-9172
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.015513 IL Primary
Mental Health Counselor 101YM0800X 114317 IA
Professional Counselor 101YP2500X 2011000674 MO

Addresses

Primary practice location

1740 Ridge Ave Ste 208
Evanston, IL 60201-5909

Mailing address

2243 W 21St PL Apt 1
Chicago, IL 60608-5285
Phone (816) 289-9172

Other practice location 1

2243 W 21st Pl Apt 1
Chicago, IL 60608-5285
Phone (816) 289-9172

Other names 1

  • Erica Lynn Benson Other name

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

State licenses

LicenseStateTypeSpecialty
114317IAMDMental Health Counselor
180.015513ILMDProfessional Counselor
2011000674MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Bench Therapy and Consultation PLLC Professional CurrentSince Jan 5, 2025 Accepting new patients

Locations

1740 Ridge Ave
Ste 208
Evanston, IL 60201
Phone (816) 289-9172

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1477753994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 W 21ST PL APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606085285",
            "telephone_number": "816-289-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE 208",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015909",
            "telephone_number": "816-289-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2243 W 21st Pl Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606085285",
            "country_code": "US",
            "telephone_number": "816-289-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENCH",
        "first_name": "ERICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015513",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "114317",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2011000674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "BENSON",
            "middle_name": "LYNN",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.