MARY BENSON
NPI 1174985030
Psychologist in Rochester, MN

Active since March 22, 2016Opted out of Medicare · through May 30, 2028
3737 40TH AVE NW, ROCHESTER, MN 55901(507) 288-6978 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 22, 2020, Mar 22, 2016 (2 updates tracked since 2016).

About Mary Benson NPPES

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

MARY BENSON (NPI 1174985030) is an individual psychologist in Rochester, Minnesota, licensed in Minnesota (LP6216) and active in the NPI registry since March 2016. She has opted out of Medicare through May 30, 2028.

NPPES Registry Identity

NPI1174985030
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY BENSON
Location Address3737 40TH AVE NWRochester, MN 55901-1772
Mailing Address723 6th St SwRochester, MN 55902-2971 · (320) 260-0873
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
NPI 1174985030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6216
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.
3737 40TH AVE NW, Rochester, MN 55901

Other Identifiers 1

Other1174985030MN · Npi I

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mary Benson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2022 through May 30, 2028.

Opt-Out Effective DateMay 30, 2022
Opt-Out In Effect ThroughMay 30, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3737 40TH AVE NW
ROCHESTER, MN 55901
Counselor (Mental Health)
3737 40TH AVE NW
ROCHESTER, MN 55901
Social Worker (Clinical)
3737 40TH AVE NW
ROCHESTER, MN 55901
Psychologist
3737 40TH AVE NW
ROCHESTER, MN 55901
Counselor (Professional)
3737 40TH AVE NW
ROCHESTER, MN 55901
Counselor (Professional)
3737 40TH AVE NW
ROCHESTER, MN 55901
Counselor (Professional)
3737 40TH AVE NW
ROCHESTER, MN 55901
Social Worker (Clinical)
3737 40TH AVE NW
ROCHESTER, MN 55901

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 Mary Benson's NPI number?

The NPI number for Mary Benson is 1174985030. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Mary Benson located?

Mary Benson practices at 3737 40th Ave NW, Rochester, MN 55901. The listed phone number is (507) 288-6978.

What is Mary Benson's specialty?

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

Is Mary Benson enrolled in Medicare?

No. Mary Benson has opted out of Medicare through May 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Benson was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.