Active NPI
Eric N Bender, MS LMFT
- Marriage & Family Therapist
- Maple Grove, MN
National Provider Identifier
1831511757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2835
- Practice address
- 13603 80TH Cir N
Maple Grove, MN 55369-8961 - Phone
- (763) 416-1489
- NPI assigned
- Jan 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2835 | MN | Primary |
Addresses
Primary practice location
13603 80TH Cir N
Maple Grove, MN 55369-8961
Mailing address
3640 Wooddale Ave S Unit 305
St Louis Park, MN 55416-5160
Phone (651) 206-9987
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2835 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric Bender, LLC | Current | Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients | |
| Nystrom & Associates, LTD | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1851047369
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- New Brighton, MN
- NPI 1467549220
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1831511757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 WOODDALE AVE S UNIT 305",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165160",
"telephone_number": "651-206-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13603 80TH CIR N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553698961",
"telephone_number": "763-416-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "ERIC",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "MS LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-12",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.