MR. THOMAS S. BENDER LPCC NPI 1003006131

Counselor in Delta, CO

About THOMAS BENDER

Thomas Bender is a provider in Delta, CO. The NPI number assigned to this provider is 1003006131. The practitioner's primary taxonomy code is Counselor (101Y00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago.

NPI1003006131 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. THOMAS S. BENDER LPCC
Provider Location Address540 MAIN STREET DELTA, CO 81416 DELTA, CO 81416 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4308 CARLISLE BLVD NE STE 209 ALBUQUERQUE, NM 87107 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-25-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-01-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. THOMAS S. BENDER LPCC
540 MAIN STREET
DELTA, CO 81416
DELTA, CO
ZIP 81416
Phone: (505) 681-1140
Fax: (505) 888-7943
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Mailing Address

MR. THOMAS S. BENDER LPCC
4308 CARLISLE BLVD NE STE 209
ALBUQUERQUE, NM
ZIP 87107
Phone:
Fax: (505) 888-7943

Primary Taxonomy

Taxonomy Code101Y00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.3377
License StateNM
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3377OTHER (01)NM

Map Location


MR. THOMAS S. BENDER LPCC address is 540 MAIN STREET DELTA, CO 81416 DELTA, CO 81416