DR. BOONE LEONARD BENTON PH.D., LPC
NPI 1104506294
Counselor - Professional in Jasper, GA

Active since July 24, 2023
376 TALLY MOUNTAIN RD N, JASPER, GA 30143(770) 846-8161 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Boone Leonard Benton Ph.d., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOONE LEONARD BENTON PH.D., LPC (NPI 1104506294) is an individual professional provider in Jasper, Georgia, licensed in Georgia (001999) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1104506294
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. BOONE LEONARD BENTONCredential: PH.D., LPC
Location Address376 TALLY MOUNTAIN RD NJasper, GA 30143-4706
Mailing Address376 Tally Mountain Rd NJasper, GA 30143-4706 · (770) 846-8161
Sole ProprietorYes
Enumeration DateJuly 24, 2023
NPPES CertifiedJuly 23, 2023
NPI 1104506294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · 001999
376 TALLY MOUNTAIN RD N, Jasper, GA 30143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boone Benton's NPI number?

The NPI number for Boone Benton is 1104506294. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Boone Benton located?

Boone Benton practices at 376 Tally Mountain Rd N, Jasper, GA 30143. The listed phone number is (770) 846-8161.

What is Boone Benton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Boone Benton was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.