AMBER JOY BENGSTON
NPI 1265926133
Counselor in Ukiah, CA

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: October 18, 2026.

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

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
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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
1165 S DORA ST STE B1
Ukiah, CA 95482
  • Reassigned Medicare billing, California enrollment
  • 121 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.

Community Health Worker
631 S ORCHARD AVE
UKIAH, CA 95482
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Counselor
631 S ORCHARD AVE
UKIAH, CA 95482
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482
Counselor (Professional)
631 S ORCHARD AVE
UKIAH, CA 95482
Day Training/Habilitation Specialist
631 S ORCHARD AVE
UKIAH, CA 95482

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 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.

Where is Amber Bengston located?

Amber Bengston practices at 631 S Orchard Ave, Ukiah, CA 95482. The listed phone number is (707) 467-2010.

What is Amber Bengston's specialty?

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

Is Amber Bengston enrolled in Medicare?

Yes. Amber Bengston 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 Amber Bengston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Bengston reassigns Medicare benefits to Mendocino Community Health Clinic, Inc. (Ukiah, CA). 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 Amber Bengston'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 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.