Individual provider Active NPI

Philip H Benjamin, LMHCA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1972102911
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61102905 Issued in WA
Practice address
Philip Benjamin Seattle Psychology, PLLC 200 W. Mercer
Suite 111
Seattle, WA 98119
Phone
(206) 605-0862
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61102905 WA Primary

Addresses

Primary practice location

Philip Benjamin Seattle Psychology, PLLC 200 W. Mercer
Suite 111
Seattle, WA 98119

Mailing address

716 Boylston Ave E Unit 8
Seattle, WA 98102-4999
Phone (206) 605-0862

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
61102905WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1972102911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BOYLSTON AVE E UNIT 8",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981024999",
            "telephone_number": "206-605-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHILIP BENJAMIN SEATTLE PSYCHOLOGY, PLLC 200 W. MERCER",
            "address_2": "SUITE 111",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-605-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "PHILIP",
        "middle_name": "H",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61102905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.