Individual provider Active NPI

Rachael Benoit, MFT

  • Marriage & Family Therapist
  • Plainville, CT
National Provider Identifier
1639523152
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002514 Issued in CT
Practice address
74 East St
Plainville, CT 06062-2367
Phone
(860) 793-4200
NPI assigned
Apr 21, 2016
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 002514 CT Primary

Addresses

Primary practice location

74 East St
Plainville, CT 06062-2367

Mailing address

74 East St
Plainville, CT 06062-2367

Other practice location 1

153 Hazard Ave
Enfield, CT 06082-4592
Phone (860) 253-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240905003649 CT Practitioner - Marriage and Family Therapist 4486194354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford DispensaryGroup PAC ID 4789010984, 11 clinicians

Practice addresses (Care Compare)

335 Broad St
Manchester, CT 06040-4036
Phone (860) 643-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002514CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Dispensary CurrentSince Aug 1, 2024 Accepting new patients
Wehamh PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

61 S Main St
Ste 214
West Hartford, CT 06107
Phone (860) 231-2487

Interoperability endpoints

  • Direct secure messaging: rachael.benoit.p1@direct.wheelerclinic.nextgenshare.com

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, 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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1639523152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 EAST ST",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622367",
            "telephone_number": "860-793-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "153 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824592",
            "country_code": "US",
            "telephone_number": "860-253-5020",
            "fax_number": "860-253-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "RACHAEL",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "002514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.