Colleen Benstein, LMFT
Individual provider Active NPI Marriage & Family Therapist · Alexandria, VA
NPI 1609226463 · NPPES record last updated Jun 9, 2021
Key facts
- NPI
- 1609226463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717001689 (VA)
- Practice address
- 2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448 - Phone
- (703) 768-6240
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 8, 2024 through Apr 8, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208000502 | IL | MD | Marriage & Family Therapist |
| 0717001689 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Family Therapy | Current |
Accepting new patients | |
| Courage to Connect Mental Health Center | Past | Accepting new patients |
Locations
2560 Huntington Ave
Ste 302
Alexandria, VA 22303
Phone (703) 765-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0717001689 | VA | Yes |
| Marriage & Family Therapist | 106H00000X | 208000502 | IL |
Addresses
Primary practice location
2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448
Mailing address
2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448
Phone (703) 768-6240
Other practice location 1
2400 Ravine Way
Suite 600
Glenview, IL 60025-7652
Phone (847) 730-3042
Other providers in Alexandria, VA
- Benjamin a. Adewale MD PC
- David Andrew Benjamin
- Arthur Alexander Bennett III
- Lucky Bennett
- Susan Benson
- Emily Bentley
- Nicole Richardson Benton
- Joao Pedro Benzaquen Perosa
- Beod Health Care Services, LLC
- Dijana Berber
All providers in Alexandria, VA · Marriage & Family Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.