Active NPI
Mary Benhoff, LPC
- Professional Counselor
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.015902
- Practice address
- 3 Oak Dr Ste B
Maryville, IL 62062-5635 - Phone
- (618) 972-1568
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 2020042070 | MO | |
| Professional Counselor | 101YP2500X | 178.015902 | IL | Primary |
Addresses
Primary practice location
3 Oak Dr Ste B
Maryville, IL 62062-5635
Mailing address
3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone (618) 972-1568
Other practice location 1
745 Craig Rd Ste 301A
Creve Coeur, MO 63141-7122
Phone (618) 972-1568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.015902 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counselors Associates | Professional | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Mental Health | Current | Accepting new patients |
| New Leaf Counseling Services, LLC | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
3 Oak Dr
#B
Maryville, IL 62062
Phone (618) 972-1568
1034 S Brentwood Blvd
Ste 1250
Saint Louis, MO 63117
Phone (314) 328-7958
255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Mental Health, MO
-
- Professional Counselor
- Maryville, IL
- NPI 1922399682
-
- Community/Behavioral Health Agency
- Glen Carbon, IL
- NPI 1104101732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1760066088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OAK DR STE B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625635",
"telephone_number": "618-972-1568",
"fax_number": "618-205-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OAK DR STE B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625635",
"telephone_number": "618-972-1568"
}
],
"practiceLocations": [
{
"address_1": "745 Craig Rd Ste 301A",
"address_purpose": "LOCATION",
"city": "Creve Coeur",
"state": "MO",
"postal_code": "631417122",
"country_code": "US",
"telephone_number": "618-972-1568",
"fax_number": "618-205-3561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENHOFF",
"first_name": "MARY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-27",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2020042070",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.015902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.