Shameshia Breona Benton, L.M.S.W

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800X Issued in SC

Practice address

3809 Rosewood Dr
Columbia, SC 29205-3533

Phone

(803) 786-1844

Fax

(803) 754-7783

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1699182790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ALEXANDER RD APT 129H",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334386",
            "telephone_number": "704-917-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053533",
            "telephone_number": "803-786-1844",
            "fax_number": "803-754-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "SHAMESHIA",
        "middle_name": "BREONA",
        "credential": "L.M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "101YM0800X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR-MENTAL HEALTH",
            "identifier": "101M0800X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skyler Dane Benson, PA
• Melissa Benton
• Nathalie Joi Benton
• Racheal Benton
• Robert Benton
• Shelbie Nicole Benton, RDH
• Marc Robert Bentz, RN
• Lynae Bereford
• Carol F. Berenbrok, OTR/L
• Elizabeth M Berg, CPNP

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.