Individual provider Active NPI

Kristiana Ellen Benson, MA, LMFT, QMHP

  • Marriage & Family Therapist
  • Sioux Falls, SD
National Provider Identifier
1578630554
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT1649 Issued in MN
Practice address
4410 S Tennis LN
Sioux Falls, SD 57106-2256
Phone
(605) 307-9910
Fax
(605) 362-5601
NPI assigned
Nov 29, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 LMFT1649 MN Primary

Addresses

Primary practice location

4410 S Tennis LN
Sioux Falls, SD 57106-2256

Mailing address

4410 S Tennis LN
Sioux Falls, SD 57106-2256
Phone (605) 307-9910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristiana@therapysecure.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240209003404 SD Practitioner - Marriage and Family Therapist 7012368962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4410 S Tennis LN
Sioux Falls, SD 57106-2256
Phone (605) 307-9910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT1649MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kristiana Benson Counseling, LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Stronghold Counseling Services Inc Past Accepting new patients
Leah Weins MFT LLC Marriage & Family Therapist PastSince Dec 21, 2021 Accepting new patients

Locations

4410 S Tennis Ln
Sioux Falls, SD 57106
Phone (605) 307-9910

Interoperability endpoints

  • Direct secure messaging: kristiana@therapysecure.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1578630554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 S TENNIS LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062256",
            "telephone_number": "605-307-9910",
            "fax_number": "605-362-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 S TENNIS LN",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062256",
            "telephone_number": "605-307-9910",
            "fax_number": "605-362-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KRISTIANA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "LMFT1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristiana@therapysecure.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4410 S Tennis Ln",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571062256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.