Jenny L. Benson, LPC
Individual provider Active NPI Professional Counselor · Du Bois, PA
NPI 1629633375 · NPPES record last updated Oct 18, 2024
Key facts
- NPI
- 1629633375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC010753 (PA)
- Practice address
- 3 S Brady St Ste B1
Du Bois, PA 15801-2153 - Phone
- (814) 375-6940
- NPI assigned
- May 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3 S Brady St
Suite B1
Du Bois, PA 15801-2153
Phone (814) 375-6940
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251029002808 | PA | Practitioner - Mental Health Counselor | 6305335415 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC010753 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest View Counseling Services LLC | Professional | Current |
Accepting new patients |
Locations
3 S Brady St
Ste B1
Du Bois, PA 15801
Phone (814) 375-6940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC010753 | PA | Yes |
Addresses
Primary practice location
3 S Brady St Ste B1
Du Bois, PA 15801-2153
Mailing address
3 S Brady St Ste B1
Du Bois, PA 15801-2153
Phone (814) 375-6940
Other names
- Jenny L. Keagle
Other providers in Du Bois, PA
- Tyler D Beers
- Morgan Diane Beimel
- Jennifer Bell
- Jeri Bell
- Michelle Bennett
- Danielle P Berringer
- Ashley Nicole Bertram
- Diana Bertram
- Gurvinder Bhardwaj
- Manyata Bhattarai
All providers in Du Bois, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.