Active NPI
Jennifer Benson, BOARD CERTIFIED HHC
- Health & Wellness Coach
- Tarzana, CA
National Provider Identifier
1871292359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- 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
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 |
|---|---|---|---|---|
| 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.