Individual provider Active NPI

Jennifer Benson, BOARD CERTIFIED HHC

  • Health & Wellness Coach
  • Tarzana, CA
National Provider Identifier
1871292359
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
4241 Ellenita Ave
Tarzana, CA 91356-5419
Phone
(818) 448-1572
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X Primary

Addresses

Primary practice location

4241 Ellenita Ave
Tarzana, CA 91356-5419

Mailing address

4241 Ellenita Ave
Tarzana, CA 91356-5419
Phone (818) 448-1572

Other practice location 1

4500 Park Granada Ste 202
Calabasas, CA 91302-1666
Phone (818) 448-1572

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

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1871292359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 ELLENITA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565419",
            "telephone_number": "818-448-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 ELLENITA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565419",
            "telephone_number": "818-448-1572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Park Granada Ste 202",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021666",
            "country_code": "US",
            "telephone_number": "818-448-1572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "JENNIFER",
        "credential": "BOARD CERTIFIED HHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.