Benjamin Reisin, MFC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC45453 Issued in CA

Practice address

266 W Playa del Carmen
Imperial, CA 92251-8858

Phone

(760) 960-5205

Fax

(760) 355-9003

NPI assigned

May 22, 2008

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy MD Medical Group IncGroup PAC ID 0446619738, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B&R Counseling Services

  dba B&R Counseling Services Benjamin Reisin Gen PTR

  • Marriage & Family Therapist
  • Imperial, CA
  • NPI 1689331027
  Medicare reassignment NPD Authorized official
• Legacy MD Medical Group Inc

  • General Practice Physician
  • El Centro, CA
  • NPI 1073210753
  Medicare reassignment Care Compare group NPD
• Imperial Manor Skilled Nursing Inc

  dba Imperial Valley Rural Health Clinic

  • Rural Health Clinic/Center
  • Brawley, CA
  • NPI 1912662883
  Medicare reassignment NPD
• Vo Medical Center

  • Urgent Care Clinic/Center
  • El Centro, CA
  • NPI 1609118041
  Medicare reassignment NPD
• Desert Health Clinic LLC

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1386465979
  Medicare reassignment
• Vo Medical Center

  • Cardiac Rehabilitation Registered Nurse
  • El Centro, CA
  • NPI 1447949292
  NPD
• Legacy MD Medical Group Inc

  • Cardiac Rehabilitation Registered Nurse
  • Calexico, CA
  • NPI 1285494351
  NPD (past)
• Sun Valley Behavioral Medical Center Inc

  • Psychiatry Physician
  • Imperial, CA
  • NPI 1447279476
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1891952180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 W PLAYA DEL CARMEN",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518858",
            "telephone_number": "760-960-5205",
            "fax_number": "760-355-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 W PLAYA DEL CARMEN",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518858",
            "telephone_number": "760-960-5205",
            "fax_number": "760-355-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISIN",
        "first_name": "BENJAMIN",
        "credential": "MFC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Br_cousneling@yahoo.com",
            "affiliation": "N",
            "address_1": "266 W Playa Del Carmen",
            "city": "Imperial",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922518858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• R Alex Mancilla OD PC (Mancilla Family Eyecare)
• Jaasiel Ramirez Rangel, DDS
• Bianca Ramirez
• Kimberly Ramirez
• Raymond Cervantes Ramos, PHARM.D.
• Anissa Rioseco
• Mitchelle Rivas
• Dania Abigail Rodriguez
• David Jose Granados Rodriguez, NP
• Melissa Rodriguez

• Marriage & Family Therapist in Imperial, CA
• Providers in Imperial, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.