Tera Leann Lensgrav-Benson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6317743-2501 Issued in UT

Practice address

7852 W 600 N
Mendon, UT 84325-9706

Phone

(435) 753-3686

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 4, 2024 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Avalon Hills Health Care, Inc

  • Psychiatric Residential Treatment Facility
  • Paradise, UT
  • NPI 1619079779
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1881868388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843230706",
            "telephone_number": "435-755-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7852 W 600 N",
            "city": "MENDON",
            "state": "UT",
            "postal_code": "843259706",
            "telephone_number": "435-753-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSGRAV-BENSON",
        "first_name": "TERA",
        "middle_name": "LEANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "6317743-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynne Brown, RN
• William Lasley Davis, LMHC
• Teresa Keane Hardman, CMHC
• Healthy Happy Whole a Wellness Spa LLC
• Kirsten Minson, RN, DNP STUDENT
• James Bradford Molen, RN
• Benita Quakenbush-Roberts, PH.D.
• Sagebrooke Family Medicine, PLLC
• Slim & Trim Medical Online

• Psychologist in Mendon, UT
• Providers in Mendon, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.