Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. STACEY DIANE BENJAMIN
NPI 1417740622
Counselor - Professional in Lake Havasu City, AZ

Q: What is Stacey Benjamin's NPI number?

The NPI number for Stacey Benjamin is 1417740622. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Stacey Benjamin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Benjamin was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 May 28, 2025

1940 MESQUITE AVE STE O, LAKE HAVASU CITY, AZ 86403(928) 732-0470 Get Directions Write a Review

NPPES record last updated: August 29, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 29, 2026, May 28, 2025 (2 updates tracked since 2025).

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About Mrs. Stacey Diane Benjamin NPPES

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

MRS. STACEY DIANE BENJAMIN (NPI 1417740622) is an individual professional provider in Lake Havasu City, Arizona, licensed in Arizona (LAC-24315) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417740622

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. STACEY DIANE BENJAMIN

Location Address1940 MESQUITE AVE STE OLake Havasu City, AZ 86403-6123

Mailing Address3520 Buckboard WayLake Havasu City, AZ 86404-3449 · (928) 208-8410

Phone(928) 732-0470

Sole ProprietorYes

Enumeration DateMay 28, 2025

Last NPPES UpdateAugust 29, 20262 updates tracked since enumeration

NPPES CertifiedAugust 29, 2026

✔ NPI 1417740622 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 AZ · LAC-24315

1940 MESQUITE AVE STE O, Lake Havasu City, AZ 86403

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Other Providers at the Same Location NPPES

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

NICHOLAS BEARD LPC

Counselor

1940 MESQUITE AVE STE O
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 732-0470

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 Benjamin's NPI number?

The NPI number for Stacey Benjamin is 1417740622. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Stacey Benjamin located?

Stacey Benjamin practices at 1940 Mesquite Ave Ste O, Lake Havasu City, AZ 86403. The listed phone number is (928) 732-0470.

What is Stacey Benjamin's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Benjamin was last updated on August 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.