Individual provider Active NPI

Christine Monserrat Benson

  • Behavior Analyst
  • Evergreen, CO
National Provider Identifier
1649827288
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB530621 Issued in CO
Practice address
3155 Snow Trillium Way
Evergreen, CO 80439-9204
Phone
(720) 295-3790
Fax
(877) 400-4480
NPI assigned
Aug 19, 2019
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB530621 CO Primary
Assistant Behavior Analyst 106E00000X 02213756 CO
Assistant Behavior Analyst 106E00000X 0-22-13756 CO
Behavior Technician 106S00000X NU

Addresses

Primary practice location

3155 Snow Trillium Way
Evergreen, CO 80439-9204

Mailing address

4114 Alpine Dr
Evergreen, CO 80439-8540

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
BACB530621COMDBehavioral Analyst
02213756COMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Dimensions Behavioral Health, LLC Behavior Analyst PastSince Aug 25, 2019 Accepting new patients
Seven Dimensions Behavioral Health, LLC Behavior Technician PastSince Jun 22, 2021 Accepting new patients
Seven Dimensions Behavioral Health, LLC Behavior Analyst PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 3

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1649827288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 ALPINE DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804398540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SNOW TRILLIUM WAY",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399204",
            "telephone_number": "720-295-3790",
            "fax_number": "877-400-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CHRISTINE",
        "middle_name": "MONSERRAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "BACB530621",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CO",
            "license": "02213756",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CO",
            "license": "0-22-13756",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.