Jason Paul Benton, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC007064 Issued in GA

Practice address

1090 Founders Blvd Ste B
Athens, GA 30606-6163

Phone

(706) 549-3606

NPI assigned

Mar 7, 2018

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Athens Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1477385771
  NPD Authorized official
• Jason Benton LLC

  • Professional Counselor
  • Athens, GA
  • NPI 1619458825
  NPD Authorized official
• Georgia Mountains Community Services

  • Developmentally Disabled Services Day Training Agency
  • Clarkesville, GA
  • NPI 1265596878
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1659873586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 SCOGGINS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305355354",
            "telephone_number": "706-894-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 FOUNDERS BLVD STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066163",
            "telephone_number": "706-549-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Darlene Bennett, DMD
• Ja'Miracle Chambray Bennett
• Jason Bennett, LMSW
• Mecca Sabri Bennett, RN
• Kayla Samara Bentley, MSN,APRN,WHNP-BC
• Ola Marie Benz, CRNA
• Patrick Opoku Berchie, M.D.
• Christine Barrett Berding, DNP, RN, CNE
• Kristina Marie Berg
• Molly Kathryn Berglund, APRN, FNP-BC

• Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.