Karyssa Bendiksen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1563 N Main St
Suite 202
Fall River, MA 02720-2983

Phone

(508) 324-1060

NPI assigned

Jan 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  Medicare reassignment NPD

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1487925160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202983",
            "telephone_number": "508-324-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 N MAIN ST",
            "address_2": "SUITE 202",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202983",
            "telephone_number": "508-324-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDIKSEN",
        "first_name": "KARYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Maeve Belley
• Megan Lynn Belliveau
• Mushi Belone
• Grace Catherine Belt, MA
• Laura Katherine Beltz, MS, RD
• Natalie Benedetto, MSW
• Bethany Benevides
• Christina Maria Benevides, O.D.
• Stephanie Michelle Benevides
• Christine Benincasa

• Mental Health Counselor in Fall River, MA
• Providers in Fall River, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.