Individual provider Active NPI

Stephen Benintendi, LPC, SRT, EMDR

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1659748754
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2015026802 Issued in MO
Practice address
1623 E Saint Louis St
Springfield, MO 65802-3129
Phone
(417) 833-9999
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2015026802 MO Primary

Addresses

Primary practice location

1623 E Saint Louis St
Springfield, MO 65802-3129

Mailing address

4140 E Crighton PL
Springfield, MO 65809-2363
Phone (417) 234-9718

Other identifiers 1

IdentifierTypeStateIssuer
2015026802OtherMOSTATE OF MISSOURI PLPC

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
2015026802MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1659748754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 E CRIGHTON PL",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092363",
            "telephone_number": "417-234-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E SAINT LOUIS ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023129",
            "telephone_number": "417-833-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENINTENDI",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LPC, SRT, EMDR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015026802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI PLPC",
            "identifier": "2015026802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.