Active NPI
Jamie Benson, LMFT
- Marriage & Family Therapist
- Swansea, IL
National Provider Identifier
1831560127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.001579
- Practice address
- 520 Fullerton Rd
Swansea, IL 62226 - Phone
- (618) 282-6233
- NPI assigned
- Oct 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 166.001579 | IL | Primary |
Addresses
Primary practice location
520 Fullerton Rd
Swansea, IL 62226
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233
Other practice location 1
2832 S Rifle St
Aurora, CO 80013-2126
Phone (720) 648-4012
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.001579 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1831560127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10257 STATE ROUTE 3",
"city": "RED BUD",
"state": "IL",
"postal_code": "622784418",
"telephone_number": "618-282-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 FULLERTON RD",
"city": "SWANSEA",
"state": "IL",
"postal_code": "62226",
"telephone_number": "618-282-6233"
}
],
"practiceLocations": [
{
"address_1": "2832 S Rifle St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800132126",
"country_code": "US",
"telephone_number": "720-648-4012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENSON",
"first_name": "JAMIE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2024-02-29",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.001579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.