Theresa Benoit, LMFT, LPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1373 Issued in MN

Practice address

5407 Excelsior Blvd Ste B
St Louis Park, MN 55416-2932

Phone

(952) 922-9332

NPI assigned

Jun 2, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relationship Therapy Center PCGroup PAC ID 7810429222, 5 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.

• Relationship Therapy Center PC

  • Marriage & Family Therapist
  • St Louis Park, MN
  • NPI 1376687285
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1942469267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD STE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD STE B",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "952-922-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "THERESA",
        "credential": "LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00132",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marny Benjamin, MD
• Thomas T Bennett, PSYD, LP
• Gurpal S Benning, MD
• Joshua John Bennington, PA-C
• Nea Rae Bennington, PA-C
• Kathryn Anne Benoy, COTA/L
• Alissa Marie Benson, MSOT
• Lindsay Elizabeth Benson, LPCC
• Michael Benson, DO
• Thomas Benson, RN

• Marriage & Family Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.