SUSAN ARIANA TARISA BENHAM
NPI 1154065639
Social Worker in South Lake Tahoe, CA
About Susan Ariana Tarisa Benham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ARIANA TARISA BENHAM (NPI 1154065639) is an individual social worker in South Lake Tahoe, California, licensed in California (ASW107313) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Susan Ariana Tarisa Benham 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 Reassignments
2Medicare enrollment records show Susan Ariana Benham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 148 clinicians in this Medicare group
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 126 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
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 Susan Ariana Benham's NPI number?
The NPI number for Susan Ariana Benham is 1154065639. It was assigned to this individual provider in the NPPES registry on April 21, 2022.
Where is Susan Ariana Benham located?
Susan Ariana Benham practices at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 318-4824.
What is Susan Ariana Benham's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Susan Ariana Benham enrolled in Medicare?
Yes. Susan Ariana Benham 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 organizations bill Medicare for Susan Ariana Benham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ariana Benham reassigns Medicare benefits to 2 organizations: Barton Medical Foundation (South Lake Tahoe, CA) and Barton Healthcare System (South Lake Tahoe, CA). Each 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 Susan Ariana Benham'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 Susan Ariana Benham was last updated on June 30, 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.
# Susan Ariana Tarisa Benham · NPI 1154065639
Social Worker provider in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since April 21, 2022.
## Identity
- **NPI:** 1154065639 (Entity type: Individual)
- **Enumerated:** April 21, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** ASW107313 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150-6305
- **Phone:** (530) 318-4824
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Barton Medical Foundation (NPI 1750950499, South Lake Tahoe, CA); Barton Healthcare System (NPI 1003867565, South Lake Tahoe, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154065639) · Data from the CMS NPPES public registry.