Individual provider Active NPI

Ben Beeson

  • Marriage & Family Therapist
  • Iowa City, IA
National Provider Identifier
1922724533
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114380 Issued in IA
Practice address
421 E Market St
Iowa City, IA 52245-2628
Phone
(319) 855-1495
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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 114380 IA Primary

Addresses

Primary practice location

421 E Market St
Iowa City, IA 52245-2628

Mailing address

2815 Rohret Rd Apt 309
Iowa City, IA 52246-8692

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.waxwingpsych.com/contact Waxwing Psychological Services, PLLC

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

State licenses

LicenseStateTypeSpecialty
114380IAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1922724533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 ROHRET RD APT 309",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522468692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452628",
            "telephone_number": "319-855-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEESON",
        "first_name": "BEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "114380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.waxwingpsych.com/contact",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Waxwing Psychological Services, PLLC",
            "address_1": "421 E Market St",
            "city": "Iowa City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "522452628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.