Gina Benson, BS, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304763 Issued in MN

Practice address

524 25TH Ave N
Saint Cloud, MN 56303-3255

Phone

(320) 202-1909

Fax

(320) 202-1910

NPI assigned

Dec 13, 2017

Reactivated

Dec 20, 2017

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

Other names 1

• Gina Makarrall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1497260434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 25TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033255",
            "telephone_number": "320-202-1909",
            "fax_number": "320-202-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 25TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033255",
            "telephone_number": "320-202-1909",
            "fax_number": "320-202-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "GINA",
        "credential": "BS, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-20",
        "deactivation_date": "2017-12-14",
        "reactivation_date": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MAKARRALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eugene Joseph Beniek, MA MDIV LICSW LMFT
• Maleah Benkofske, LP
• Cassandra Benoit
• Derek Benoit
• Dawn Benson-Hance
• Bradley J Benz, LADC
• Ahtto N Berg
• Anne Patrice Berg, CCC-SLP
• Jessica Jo Berg
• Mariah Ann Berg

• Addiction (Substance Use Disorder) Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.