Individual provider Active NPI

Mary Benhoff, LPC

  • Professional Counselor
  • Maryville, IL
National Provider Identifier
1760066088
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015902 Issued in IL
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

Updated by the provider on May 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002630 MO Practitioner - Mental Health Counselor 7911344791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.015902ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counselors Associates Professional CurrentSince Jan 19, 2025 Accepting new patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Feb 26, 2024 Accepting new patients
New Leaf Counseling Services, LLC PastSince May 16, 2021 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.

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

Verify at the official NPI Registry.