Kevin Lee Benbow

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 13276 Issued in AZ

Practice address

202 S 1St Ave Ste 104
Yuma, AZ 85364-2366

Phone

(928) 750-1774

Fax

(928) 783-1065

NPI assigned

Jan 22, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevinbenbow@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1770760720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S 1ST AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642366",
            "telephone_number": "928-750-1774",
            "fax_number": "928-783-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 1ST AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853642366",
            "telephone_number": "928-750-1774",
            "fax_number": "928-783-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBOW",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC 13276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC13276",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodante Pilando Beltejar II, DPT
• Angel Fernando Beltran
• Brianda Beltran, PA-C
• Viridiana Beltran, RD
• Crystal Benavides, RN
• Linda Bentley
• Barbara Berg, COTA
• Gary L Berg, M.D.
• Christopher G Bermudez, PA-C
• Barton S Bernstein, M.D.

• Counselor in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.