Annetta Serena Benjamin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701004674 Issued in VA

Practice address

12721 Darby Brook CT
Suite 102
Woodbridge, VA 22192-2408

Phone

(703) 497-1771

Fax

(703) 497-1225

NPI assigned

Sep 18, 2009

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

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Benjamin Counseling Center

  • Professional Counselor
  • Lorton, VA
  • NPI 1205134962
  NPD (past) Authorized official
• Prince William Family Counseling, P.C.

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1205868791
  NPD (past)
• Woodbridge Therapy Group LLC

  • Psychologist
  • Woodbridge, VA
  • NPI 1427421627

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1982937207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095698",
            "telephone_number": "703-330-9933",
            "fax_number": "703-368-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 DARBY BROOK CT",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922408",
            "telephone_number": "703-497-1771",
            "fax_number": "703-497-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "ANNETTA",
        "middle_name": "SERENA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beltway Home Health LLC
• Catherine Nkeiruka Ben-Agu
• Logan Michael Ben-Ezra, PT, DPT, CSCS
• Benchmark Physical Therapy of VA, LLC
• Aida Bengussie, LCSW
• Christine Marie Benjamin, DSP
• Powum Bennam, PHARMD
• Ehab Bennasir
• Bennett Group Home LLC
• Bennett Home Care Agency

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.