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JACLYN BENCIVENGA
NPI 1528507126
Counselor - Mental Health in Venice, FL

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment
417 COMMERCIAL CT STE C, VENICE, FL 34292(941) 485-0121(941) 485-0591 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 12, 2021, Feb 15, 2017 (2 updates tracked since 2017).

About Jaclyn Bencivenga NPPES

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

JACLYN BENCIVENGA (NPI 1528507126) is an individual mental health provider in Venice, Florida, licensed in Florida (MH18774) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528507126
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACLYN BENCIVENGA
Location Address417 COMMERCIAL CT STE CVenice, FL 34292-1655
Mailing Address5 Revere DrNorthbrook, IL 60062-1566 · (941) 485-0121 · Fax (941) 485-0591
Phone(941) 485-0121
Fax(941) 485-0591
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 15, 2017
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1528507126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH18774
417 COMMERCIAL CT STE C, Venice, FL 34292
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Jaclyn Bencivenga 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 ID8426494311
PECOS Enrollment IDI20240314000494
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.

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.

CAROLINA PIZANO
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049
ANDREANA ROMAN
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049
BRIDGET MURPHY
Social Worker
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (941) 485-0121
YAMICELYS FUENTES
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049
GILLIAN BEDNAR
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049
BROOKE KOHLER
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049
VIANNA LEXINE
Counselor (Mental Health)
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (561) 853-6828
STEVE MCKELVY
Behavior Technician
417 COMMERCIAL CT STE C
VENICE, FL 34292
Sarasota County (800) 356-4049

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 Jaclyn Bencivenga's NPI number?

The NPI number for Jaclyn Bencivenga is 1528507126. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Jaclyn Bencivenga located?

Jaclyn Bencivenga practices at 417 Commercial Ct Ste C, Venice, FL 34292. The listed phone number is (941) 485-0121.

What is Jaclyn Bencivenga's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jaclyn Bencivenga enrolled in Medicare?

Yes. Jaclyn Bencivenga 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.

What insurance does Jaclyn Bencivenga accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Jaclyn Bencivenga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Bencivenga was last updated on February 12, 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.