Individual provider Active NPI

Elizabeth C Benson, MA, LMFT

  • Marriage & Family Therapist
  • Delano, MN
National Provider Identifier
1861742405
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2315 Issued in MN
Practice address
265 River St N Ste 109
Delano, MN 55328-8266
Phone
(612) 584-1153
Fax
(763) 972-8808
NPI assigned
Sep 11, 2012
Last updated
Oct 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2315 MN Primary

Addresses

Primary practice location

265 River St N Ste 109
Delano, MN 55328-8266

Mailing address

265 River St N Ste 109
Delano, MN 55328-8266
Phone (612) 584-1153

Other identifiers 2

IdentifierTypeStateIssuer
1861742405MedicaidMN
1144563883MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131003370 MN Practitioner - Marriage and Family Therapist 0749695492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Counseling Associates Inc CurrentSince Jan 16, 2024 Accepting new patients

Locations

8340 Bridge St
Rockford, MN 55373
Phone (763) 233-6800

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1861742405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 RIVER ST N STE 109",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288266",
            "telephone_number": "612-584-1153",
            "fax_number": "763-972-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 RIVER ST N STE 109",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553288266",
            "telephone_number": "612-584-1153",
            "fax_number": "763-972-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "credential": "MA,  LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861742405",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144563883",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, MN

Sources for this page

Verify at the official NPI Registry.