Connor Benefield

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT123621 Issued in CA

Practice address

11175 San Pablo Ave
El Cerrito, CA 94530-2157

Phone

(510) 559-5550

NPI assigned

Nov 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Connor Mulhern Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1760084792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32063",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946043363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 SAN PABLO AVE",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945302157",
            "telephone_number": "510-559-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1782 Church St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941312451",
            "country_code": "US",
            "telephone_number": "415-648-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT123621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNOR",
            "last_name": "MULHERN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Anthony Bayer, MD
• Jenifer Marie Becker
• Kendall Becker, OTR/L
• Adrijana Begic
• Grace Bender, LM, CPM
• Julia Bernard
• Varinder Singh Bhatia
• Anna Billings, LMFT
• January Rita Bishop, ED.D; M.S.W.
• Jessica Ellen Black, MS, NC

• Marriage & Family Therapist in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.