Stephanie Rae Benson, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

13201490-3904 Issued in UT

Practice address

10718 S Beckstead LN Ste 103
South Jordan, UT 84095-2605

Phone

(801) 477-0041

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 20, 2024 through Oct 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Utah Center for Couples and Families

  dba Provo Center for Couples and Families

  • Clinic/Center
  • Orem, UT
  • NPI 1417299827
  NPD (past)

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1497469498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 E 820 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975481",
            "telephone_number": "801-477-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 S BECKSTEAD LN STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952605",
            "telephone_number": "801-477-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "13201490-3904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE MARRIAGE AND FAMILY THERAPY LICENSE",
            "identifier": "13201490-3904",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "10718 S Beckstead Ln Ste 103",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840952605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared Bennett, CCC/SLP
• Lindsay Bennett, LCSW
• Samantha Nicole Bennett, RN
• David Bennion
• Jonathan Hugh Bennion, PA-C
• Emma Bergman
• Matthew Berke, PT
• Zoey Bern
• Wendy Berrett, MS CCC-SLP
• Devan Marie Bertolino, LCSW

• Marriage & Family Therapist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.