Active NPI
Earnest Terence Benson, LPC
- Professional Counselor
- Powder Springs, GA
National Provider Identifier
1992372429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC012175
- Practice address
- 240 Meadow Crest Way
Powder Springs, GA 30127-5772 - Phone
- (678) 336-5535
- NPI assigned
- Jun 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC012175 | GA | Primary |
Addresses
Primary practice location
240 Meadow Crest Way
Powder Springs, GA 30127-5772
Mailing address
4644 Powder Springs Dallas Rd Unit 1242
Powder Springs, GA 30127-7710
Phone (678) 336-5535
Other names 1
- Mr. Ernest Benson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@ilifecounseling.org | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC012175 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Life Counseling | Current | Accepting new patients |
Locations
4644 Powder Springs Dallas Rd
Unit 1242
Powder Springs, GA 30127
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Powder Springs, GA
- NPI 1437726965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1992372429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4644 POWDER SPRINGS DALLAS RD UNIT 1242",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301277710",
"telephone_number": "678-336-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEADOW CREST WAY",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301275772",
"telephone_number": "678-336-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "EARNEST",
"middle_name": "TERENCE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC012175",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@ilifecounseling.org",
"affiliation": "N",
"endpointDescription": "Email for administrative information",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "240 Meadow Crest Way",
"city": "Powder Springs",
"state": "GA",
"country_code": "US",
"postal_code": "301275772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERNEST",
"last_name": "BENSON",
"prefix": "MR.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.