Kevin Jorge Benitez, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120390 Issued in CA

Practice address

15740 Turnberry St
Moreno Valley, CA 92555-4903

Phone

(951) 363-8449

NPI assigned

Oct 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silence Aloud, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Moreno Valley, CA
  • NPI 1669992053
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1770182628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25384 PARK AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542323",
            "telephone_number": "909-705-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15740 TURNBERRY ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554903",
            "telephone_number": "951-363-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "KEVIN",
        "middle_name": "JORGE",
        "name_prefix": "Mr.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Cortina Residential Care
• Diana Lizeth Bello
• Amanda Benavidez
• Nacera Bendelhoum, M.S
• Karla Stephany Benitez Estrada, LCSW
• Rocelious Marquis Bennett
• Beresell LLC
• Rebecca Lynn Bergadine
• Paul Berinsch, DC
• Berinson Chiropractic Inc

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, 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 Oct 21, 2020; 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.