AMBER JOY BENGSTON
NPI 1265926133
Counselor in Ukiah, CA

Q: What is Amber Bengston's NPI number?

The NPI number for Amber Bengston is 1265926133. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Q: What is Amber Bengston's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Bengston was last updated on July 9, 2021. 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.

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment

631 S ORCHARD AVE, UKIAH, CA 95482(707) 467-2010 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2021, Jun 14, 2018 (2 updates tracked since 2018).

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About Amber Joy Bengston NPPES

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

AMBER JOY BENGSTON (NPI 1265926133) is an individual counselor in Ukiah, California and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Bragg, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265926133

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAMBER JOY BENGSTON

Location Address631 S ORCHARD AVEUkiah, CA 95482-5011

Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010

Phone(707) 467-2010

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 14, 2018

Last NPPES UpdateJuly 9, 20212 updates tracked since enumeration

NPPES CertifiedJuly 9, 2021

✔ NPI 1265926133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

631 S ORCHARD AVE, Ukiah, CA 95482

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Secondary Practice Location 1

Location 1137 E Oak StFort Bragg, CA 95437-3610 · Phone (707) 345-1012 ext. 1030

Other Identifiers 1

Other18315522333CA · Case Management

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Joy Bengston 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.

PECOS PAC ID1557854809

PECOS Enrollment IDI20251204001611

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.

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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.

ASHLEY CHRISTINA CLAY

Community Health Worker