Carol Bencivenga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH13487 Issued in FL

Practice address

1022 Brielle Ave
Oviedo, FL 32765-5400

Phone

(407) 461-6179

Fax

(407) 366-8108

NPI assigned

Dec 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1790220069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 BRIELLE AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655400",
            "telephone_number": "407-461-6179",
            "fax_number": "407-366-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BRIELLE AVE",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655400",
            "telephone_number": "407-461-6179",
            "fax_number": "407-366-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIVENGA",
        "first_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH13487",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-010338-2015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavior Analysis Support Services, Inc
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• Rebecca Kay Belanger, L.M.H.C.
• Ghizlane Benchekroune, M.D
• Andrea Berdejo-Postigo
• Emily Berndt, RMHCI
• David Bernstein
• Gregory E Berry, R.PH.
• Kayla Beswick

• Mental Health Counselor in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.