Marisa Kathleen Benson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

702 John Adams St
Oregon City, OR 97045-1955

Phone

(503) 919-7982

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1740843689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 NW BRYN MAWR PL",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305264",
            "telephone_number": "503-347-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451955",
            "telephone_number": "503-919-7982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Blankenship Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970684174",
            "country_code": "US",
            "telephone_number": "503-919-7982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MARISA",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa@bravesoulscounseling.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "461 NW Bryn Mawr Pl",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970305264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alan R Bengtzen, MD
• Chelsea Bennett
• Jake Bennett, QMHA
• Ryan Bennett, QMHA
• Joseph Benson
• Toni R Bergeron, LPC, CADC III, CDP
• Stephanie Ann Bergman, CADC I
• Jordan Bergmann
• Amen Temesgen Berhanu, QMHA
• Stephanie Alexis Lossinsky Berk, MSCN, NBC-HWC

• Mental Health Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.