Individual provider Active NPI

Benjamin Lee Klein, L.M.F.T.

  • Marriage & Family Therapist
  • Connersville, IN
National Provider Identifier
1497981997
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001524A Issued in IN
Practice address
390 Erie Ave
Connersville, IN 47331-3177
Phone
(765) 825-4124
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001524A IN Primary

Addresses

Primary practice location

390 Erie Ave
Connersville, IN 47331-3177

Mailing address

390 Erie Ave
Connersville, IN 47331-3177
Phone (765) 825-4124

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240524002079 IN Practitioner - Marriage and Family Therapist 3375910946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

2500 N Park Rd
Reid Health
Connersville, IN 47331-3040
Phone (765) 983-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35001524AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc CurrentSince Apr 17, 2024 Accepting new patients
Reid Physician Associates, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Reid Health Ambulance, Inc. PastSince Apr 17, 2024 Accepting new patients

Locations

1908 N Park Rd
Connersville, IN 47331
Phone (765) 222-1079

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1220.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1497981997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ERIE AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313177",
            "telephone_number": "765-825-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ERIE AVE",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313177",
            "telephone_number": "765-825-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "BENJAMIN",
        "middle_name": "LEE",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.