Individual provider Active NPI

Kendra Benesch, LCPC

  • Mental Health Counselor
  • Marriottsville, MD
National Provider Identifier
1750714739
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC6473 Issued in MD
Practice address
11265 Dovedale CT
Marriottsville, MD 21104-1644
Phone
(410) 207-6687
Fax
(410) 442-1329
NPI assigned
Aug 14, 2013
Last updated
Aug 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC6473 MD Primary

Addresses

Primary practice location

11265 Dovedale CT
Marriottsville, MD 21104-1644

Mailing address

11265 Dovedale CT
Marriottsville, MD 21104-1644
Phone (410) 207-6687

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
LC6473MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ripples of Change Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1750714739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11265 DOVEDALE CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041644",
            "telephone_number": "410-207-6687",
            "fax_number": "410-442-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11265 DOVEDALE CT",
            "city": "MARRIOTTSVILLE",
            "state": "MD",
            "postal_code": "211041644",
            "telephone_number": "410-207-6687",
            "fax_number": "410-442-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESCH",
        "first_name": "KENDRA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC6473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marriottsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.