Individual provider Active NPI

Ronald E Benham, DMFT

  • Professional Counselor
  • Westminster, CO
National Provider Identifier
1639301708
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5441 Issued in CO
Practice address
8120 Sheridan Blvd Ste 108C
Westminster, CO 80003-6144
Phone
(303) 352-1975
Fax
(303) 352-1975
NPI assigned
Aug 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1141 CO
Marriage & Family Therapist 106H00000X 1139 CO
Professional Counselor 101YP2500X 5441 CO Primary

Addresses

Primary practice location

8120 Sheridan Blvd Ste 108C
Westminster, CO 80003-6144

Mailing address

3220 Otis St
Wheat Ridge, CO 80033-6359
Phone (303) 352-1975

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

State licenses

LicenseStateTypeSpecialty
1139COMDPhysician Assistant
5441COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ron Benham LLC Professional CurrentSince Sep 28, 2021 Accepting new patients

Locations

8120 Sheridan Blvd
Ste 108C
Westminster, CO 80003
Phone (303) 352-1975

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1639301708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 OTIS ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336359",
            "telephone_number": "303-352-1975",
            "fax_number": "303-352-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 SHERIDAN BLVD STE 108C",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800036144",
            "telephone_number": "303-352-1975",
            "fax_number": "303-352-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHAM",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1141",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "1139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.