CHRISTINA BENBOUDIAF
NPI 1124414263
Counselor - Mental Health in Edgewood, MD
About Christina Benboudiaf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRISTINA BENBOUDIAF (NPI 1124414263) is an individual mental health provider in Edgewood, Maryland, licensed in New York (P00111) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Christina Benboudiaf is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Christina Benboudiaf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Christina Benboudiaf's NPI number?
The NPI number for Christina Benboudiaf is 1124414263. It was assigned to this individual provider in the NPPES registry on April 15, 2015.
Where is Christina Benboudiaf located?
Christina Benboudiaf practices at 1434 Harford Square Dr, Edgewood, MD 21040. The listed phone number is (716) 261-9488.
What is Christina Benboudiaf's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Christina Benboudiaf enrolled in Medicare?
Yes. Christina Benboudiaf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Christina Benboudiaf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Christina Benboudiaf reassigns Medicare benefits to Maryland Wellness LLC (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christina Benboudiaf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Christina Benboudiaf was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Christina Benboudiaf · NPI 1124414263
Mental Health provider in Edgewood, Maryland. Individual provider, active in the CMS NPPES registry since April 15, 2015.
## Identity
- **NPI:** 1124414263 (Entity type: Individual)
- **Enumerated:** April 15, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P00111 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1434 HARFORD SQUARE DR, Edgewood, MD 21040-2212
- **Phone:** (716) 261-9488
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Maryland Wellness LLC (NPI 1003479668, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124414263) · Data from the CMS NPPES public registry.