Active NPI
Casey Benac, MA, LCMHC
- Professional Counselor
- Waco, TX
National Provider Identifier
1538549381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 11444
- Practice address
- 2123 Colcord Ave
Waco, TX 76707-2739 - Phone
- (210) 415-4149
- NPI assigned
- Jun 8, 2015
- Last updated
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11444 | NC | Primary |
Addresses
Primary practice location
2123 Colcord Ave
Waco, TX 76707-2739
Mailing address
2123 Colcord Ave
Waco, TX 76707-2739
Phone (210) 415-4149
Other practice location 1
18 W Colony Pl
Ste 280
Durham, NC 27705-5582
Phone (210) 415-4149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/a |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11444 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1538549381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 COLCORD AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767072739",
"telephone_number": "210-415-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 COLCORD AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767072739",
"telephone_number": "210-415-4149"
}
],
"practiceLocations": [
{
"address_1": "18 W Colony Pl",
"address_2": "Ste 280",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277055582",
"country_code": "US",
"telephone_number": "210-415-4149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENAC",
"first_name": "CASEY",
"credential": "MA, LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "11444",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/a",
"affiliation": "N",
"address_1": "2123 Colcord Ave",
"city": "Waco",
"state": "TX",
"country_code": "US",
"postal_code": "767072739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.