NPIMap

Organization Active NPI

Bene Therapy PLLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1750934071
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BENE THERAPY PLLC
Practice address
2719 E Madison St Ste 200
Seattle, WA 98112-4752
Phone
(206) 683-0707
Fax
(206) 299-0766
NPI assigned
Jul 17, 2019
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Amanda Sue Moening
Title
People Ops and Data Manager
Phone
(567) 356-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2719 E Madison St Ste 200
Seattle, WA 98112-4752

Mailing address

2719 E Madison St Ste 200
Seattle, WA 98112-4752
Phone (206) 683-0707

Other identifiers 1

IdentifierTypeStateIssuer
2034686MedicaidWA

Other names 1

  • Ralph A Fragale, MA, LMHC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241028000331 WA Part B Supplier - Clinic/Group Practice 6709270341 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1818 E Mercer St
Ste 101
Seattle, WA 98112
Phone (206) 658-5340

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1750934071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 E MADISON ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124752",
            "telephone_number": "206-683-0707",
            "fax_number": "206-299-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 E MADISON ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124752",
            "telephone_number": "206-683-0707",
            "fax_number": "206-299-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "MOENING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PEOPLE OPS AND DATA MANAGER",
        "authorized_official_telephone_number": "567-356-1646"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralph A Fragale, MA, LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ralph A Fragale, MA, LMHC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.