BENJAMIN WILLIAM HENSLEY LPC
NPI 1538886361
Counselor - Professional in Lees Summit, MO

NPI Status: Active since October 24, 2022

Contact Information

1555 NE RICE RD
LEES SUMMIT, MO
ZIP 64086
Phone: (816) 347-3069

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Counselor
Professional
Accepts Insurance
PECOS Enrolled

About BENJAMIN HENSLEY

This page provides the complete NPI Profile along with additional information for Benjamin Hensley, a provider established in Lees Summit, Missouri with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1538886361 assigned on October 2022. The practitioner's primary taxonomy code is 101YP2500X with license number 2022039328 (MO). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1538886361
Provider Name: BENJAMIN WILLIAM HENSLEY LPC
Gender: Male
Entity Type: Individual
Location Address: 1555 NE RICE RD LEES SUMMIT, MO 64086
Location Phone: (816) 347-3069
Mailing Address: 5239 OLD STAGE RD HIGGINSVILLE, MO 64037
Mailing Phone: (816) 591-7376
Is Sole Proprietor?: No
Enumeration Date: 10-24-2022
Last Update Date: 12-18-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Professional
Taxonomy Code: 101YP2500X
Type: Behavioral Health & Social Service Providers
License No.: 2022039328
License State: MO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Anthem Blue Cross and Blue Shield

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Catastrophic Pathway (+ Incentives) - EPO
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

Blue Cross and Blue Shield of Kansas City

Blue KC Community Silver Preferred-Care Blue EPO - EPO
Blue KC First Bronze Preferred-Care Blue EPO - EPO
Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
Blue KC Standard Gold Preferred-Care Blue EPO - EPO
Blue KC Standard Silver Preferred-Care Blue EPO - EPO

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204 - HMO
Blue Advantage Bronze HMO? 301 - HMO
Blue Advantage Bronze HMO? Standard - HMO
Blue Advantage Gold HMO? 206 - HMO
Blue Advantage Gold HMO? 603 - HMO
Blue Advantage Gold HMO? Standard - HMO
Blue Advantage Plus Bronze? 303 - POS
Blue Advantage Plus Bronze? 305 - POS
Blue Advantage Plus Bronze? Standard - POS
Blue Advantage Plus Gold? 203 - POS
Blue Advantage Plus Gold? 803 - POS
Blue Advantage Plus Gold? Standard - POS
Blue Advantage Plus Silver? 202 - POS
Blue Advantage Plus Silver? 605 - POS
Blue Advantage Plus Silver? Standard - POS
Blue Advantage Security HMO? 200 - HMO
Blue Advantage Silver HMO? 205 - HMO
Blue Advantage Silver HMO? 801 - HMO
Blue Advantage Silver HMO? Standard - HMO
MyBlue Health Bronze? 402 - HMO

Medica

Balance by Medica Bronze $0 Copay PCP Visits - EPO
Balance by Medica Bronze Premier - EPO
Balance by Medica Expanded Bronze Standard - EPO
Balance by Medica Gold $0 Copay PCP Visits - EPO
Balance by Medica Gold Share - EPO
Balance by Medica Gold Standard - EPO
Balance by Medica Silver $0 Copay PCP Visits - EPO
Balance by Medica Silver Share - EPO
Balance by Medica Silver Standard - EPO
Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
Medica with MU Health Care Bronze Premier - EPO
Medica with MU Health Care Expanded Bronze Standard - EPO
Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
Medica with MU Health Care Gold Share - EPO
Medica with MU Health Care Gold Standard - EPO
Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
Medica with MU Health Care Silver Share - EPO
Medica with MU Health Care Silver Standard - EPO
Select by Medica Bronze $0 Copay PCP Visits - EPO
Select by Medica Bronze Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Benjamin Hensley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538886361, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 1 + 6 + 8 + 1 + 2 + 3 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1538886361.