Theresa R Bensky LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

01222 Issued in IA

Legal business name

THERESA R BENSKY LLC

Practice address

813 N Lincoln St Apt 3
Creston, IA 50801-1300

Phone

(641) 344-0913

NPI assigned

Jan 9, 2013

Last updated

Aug 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa R Bensky, LISWNPI 1922011139

Title

Clinical Director

Phone

(641) 344-0913

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa R Bensky, M.S.W., L.I.S.W.

  • Clinical Social Worker
  • Creston, IA
  • NPI 1922011139
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1982941167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N LINCOLN ST APT 3",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011300",
            "telephone_number": "641-344-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N LINCOLN ST APT 3",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011300",
            "telephone_number": "641-344-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA R BENSKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "BENSKY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "641-344-0913",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "01222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "01199",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010215",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stacy Lynn Tallman, LMSW
• Linda S Thomsen, O.D.
• Trey Matthew Thomsen, OD
• Steven Kent Tilley, DDS
• Robert Bruce Tipling Jr., LMHC
• Emily A Turner, ARNP

• Community/Behavioral Health Agency in Creston, IA
• Providers in Creston, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.