Individual provider Active NPI

Cynthia D Benedict

  • Mental Health Counselor
  • Clayton, MO
National Provider Identifier
1689785180
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6009 Issued in FL
Practice address
8008 Carondelet Ave Ste 308
Clayton, MO 63105
Phone
(407) 234-6922
NPI assigned
Aug 31, 2006
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2016011618 MO
Mental Health Counselor 101YM0800X MH6009 FL Primary

Addresses

Primary practice location

8008 Carondelet Ave Ste 308
Clayton, MO 63105

Mailing address

481 Homer Ave
Longwood, FL 32750-6722
Phone (407) 949-1954

Other practice location 1

1855 W Sr 434
Suite 216
Longwood, FL 32750-6722
Phone (407) 234-6911

Other identifiers 1

IdentifierTypeStateIssuer
765768400MedicaidFL

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
MH6009FLMDMental Health Counselor
2016011618MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1689785180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 HOMER AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506722",
            "telephone_number": "407-949-1954",
            "fax_number": "866-850-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 CARONDELET AVE STE 308",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "63105",
            "telephone_number": "407-234-6922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 W SR 434",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327506722",
            "country_code": "US",
            "telephone_number": "407-234-6911",
            "fax_number": "866-850-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016011618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "765768400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.