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JESSICA BENAVIDEZ LPC
NPI 1295428209
Counselor - Professional in Mansfield Center, CT

Active since May 26, 2023PECOS EnrolledAccepts Medicare Assignment
140 N FRONTAGE RD, MANSFIELD CENTER, CT 06250(860) 456-2261(860) 450-1357 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, May 29, 2025, May 26, 2023 (3 updates tracked since 2023).

About Jessica Benavidez Lpc NPPES

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

JESSICA BENAVIDEZ LPC (NPI 1295428209) is an individual professional provider in Mansfield Center, Connecticut, licensed in Connecticut (8352) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mansfield Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295428209
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA BENAVIDEZCredential: LPC
Location Address140 N FRONTAGE RDMansfield Center, CT 06250-1648
Mailing Address1007 N Main StDayville, CT 06241-2170 · (860) 774-2020 · Fax (860) 774-0826
Phone(860) 456-2261
Fax(860) 450-1357
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 26, 2023
Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1295428209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 8352
140 N FRONTAGE RD, Mansfield Center, CT 06250
Open in Google Maps ↗

Secondary Practice Location 1

Location 1189 Storrs RdMansfield Center, CT 06250-1683 · Phone (860) 456-1311

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

Jessica Benavidez Lpc 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 ID4082128814
PECOS Enrollment IDI20250703003672
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 Reassignments

2

Medicare enrollment records show Jessica Benavidez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Natchaug Hospital, Inc.
0.9 mi
Psychiatric Hospital
189 STORRS ROAD
Mansfield Center, CT 06250
  • Reassigned Medicare billing, Connecticut enrollment
  • 200 clinicians in this Medicare group
NPI 1295811321 (860) 456-1311
United Services Inc
18 mi
Mental Health (Including Community Mental Health Center)
1007 N MAIN ST
Dayville, CT 06241
  • Reassigned Medicare billing, Connecticut enrollment
  • 64 clinicians in this Medicare group
NPI 1063413011 (860) 774-2020

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.

ZACHARY BROWN LMSW
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
AKEMI SAKURAI LCSW
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
ARIANNA AGATI LMSW
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
ADDISON M BELCAMINO LMSW
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
MS. JANAY GONZALES LCSW
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
DEBORAH LONDON LCSW
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
ALISON ADAMS LMSW
Social Worker
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261
JENNA BOULETTE LCSW
Social Worker (Clinical)
140 N FRONTAGE RD
MANSFIELD CENTER, CT 06250
Capitol Planning Region (860) 456-2261

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 Jessica Benavidez's NPI number?

The NPI number for Jessica Benavidez is 1295428209. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Jessica Benavidez located?

Jessica Benavidez practices at 140 N Frontage Rd, Mansfield Center, CT 06250. The listed phone number is (860) 456-2261.

What is Jessica Benavidez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Benavidez enrolled in Medicare?

Yes. Jessica Benavidez 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 Jessica Benavidez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Benavidez reassigns Medicare benefits to 2 organizations: Natchaug Hospital, Inc. (Mansfield Center, CT) and United Services Inc (Dayville, CT). 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 Jessica Benavidez'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 Jessica Benavidez was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.