Benjamin Jeffrey Menary, LPC
Individual provider Active NPI Professional Counselor · Rolla, MO
NPI 1992045488 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1992045488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2012029759 (MO)
- Practice address
- 1450 E 10TH St
Rolla, MO 65401-3648 - Phone
- (844) 853-8937
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2012029759 | MO | Yes |
Addresses
Primary practice location
1450 E 10TH St
Rolla, MO 65401-3648
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937
Other providers in Rolla, MO
- Medley Pharmacy Inc
- Medley Pharmacy Inc
- Medley Pharmacy Inc
- Medley Pharmacy Inc.
- Francine Diane Meek
- Menm, LLC
- Erika Ann Menzel
- Meramec Sunrise
- Mercy Clinic Springfield Communities
- Mercy Clinic Springfield Communities
All providers in Rolla, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.