Active NPI
Priscilla Lynka Benites, M.S.
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1609909241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT47846
- Practice address
- 43424 Copeland Cir Ste a
Lancaster, CA 93535-4503 - Phone
- (661) 726-5501
- Fax
- (661) 726-5502
- NPI assigned
- Mar 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF40808 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT47846 | CA | Primary |
Addresses
Primary practice location
43424 Copeland Cir Ste a
Lancaster, CA 93535-4503
Mailing address
25858 Estaban Dr
Valencia, CA 91355-2164
Phone (818) 404-5611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47846 | CA | MD | Marriage & Family Therapist |
| IMF40808 | CA | MD | Marriage & Family Therapist |
| MFT47846 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders Psychological Services, Inc. | Current | Accepting new patients | |
| Soultenders, Inc. | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
245 E Olive Ave
Ste 400
Burbank, CA 91502
Phone (818) 823-6677
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1609909241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25858 ESTABAN DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913552164",
"telephone_number": "818-404-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43424 COPELAND CIR STE A",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935354503",
"telephone_number": "661-726-5501",
"fax_number": "661-726-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENITES",
"first_name": "PRISCILLA",
"middle_name": "LYNKA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF40808",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT47846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.