Individual provider Active NPI

Peter Benson, MA, LMFTA

  • Marriage & Family Therapist
  • Draper, UT
National Provider Identifier
1801284039
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
9679668-3904 Issued in UT
Practice address
13552 S 110 W
Suite 204
Draper, UT 84020-2401
Phone
(801) 999-0580
NPI assigned
Dec 22, 2014
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X WA
Marriage & Family Therapist 106H00000X 9679668-3904 UT Primary

Addresses

Primary practice location

13552 S 110 W
Suite 204
Draper, UT 84020-2401

Mailing address

542 W 1600 S
Orem, UT 84058-7320
Phone (208) 390-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9679668-3904UTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
White Pine Ventures Mental Health Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1801284039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W 1600 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587320",
            "telephone_number": "208-390-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 S 110 W",
            "address_2": "SUITE 204",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202401",
            "telephone_number": "801-999-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "PETER",
        "credential": "MA, LMFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "9679668-3904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.