Organization Active NPI

Justine Beneski Counseling LLC

  • Mental Health Counselor
  • Archbald, PA
National Provider Identifier
1831967868
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JUSTINE BENESKI COUNSELING LLC
Practice address
1 Highlands Blvd Ste 209
Archbald, PA 18403-1516
Phone
(570) 397-0230
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Justine H Beneski, LPCNPI 1992261705
Title
Owner/Provider
Phone
(570) 397-0230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 Highlands Blvd Ste 209
Archbald, PA 18403-1516

Mailing address

159 Electric St
Peckville, PA 18452-2109

Other identifiers 1

IdentifierTypeStateIssuer
1992261705OtherPANPI-1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119000145 PA Part B Supplier - Clinic/Group Practice 4688026271 Receives reassigned benefits from 1 practitioner
Practice locations: Archbald, PA

National Provider Directory

National Provider Directory

Locations

1 Highlands Blvd
Ste 206
Archbald, PA 18403

1 Highlands Blvd
Ste 209
Archbald, PA 18403
Phone (570) 397-0230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1831967868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ELECTRIC ST",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDS BLVD STE 209",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184031516",
            "telephone_number": "570-397-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE BENESKI COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "BENESKI",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "570-397-0230",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1992261705",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbald, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.