DR. STACEY L BENSON PSY D
NPI 1164457040
Psychologist in Fargo, ND

Active since July 11, 2006PECOS Enrolled
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Stacey L Benson Psy D NPPES

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

DR. STACEY L BENSON PSY D (NPI 1164457040) is an individual psychologist in Fargo, North Dakota, licensed in North Dakota (ND 327) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1164457040
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. STACEY L BENSONCredential: PSY D
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Fax(701) 298-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164457040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in ND · ND 327
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2624 9TH AVE S, Fargo, ND 58103

Other Identifiers 1

Other026706ND · Bcbs Of Nd Pin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stacey L Benson Psy D is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062415763
PECOS Enrollment IDI20060818000427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1308 23RD ST S, SUITE G
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 10 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.

Specialist
2624 9TH AVE S
FARGO, ND 58103
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor
2624 9TH AVE S
FARGO, ND 58103
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103

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 Stacey Benson's NPI number?

The NPI number for Stacey Benson is 1164457040. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Stacey Benson located?

Stacey Benson practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is Stacey Benson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stacey Benson enrolled in Medicare?

Yes. Stacey Benson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Benson reassigns Medicare benefits to Benson Psychological Services PC (Fargo, ND). 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 Stacey Benson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Benson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Stacey Benson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Benson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.