1. Home
  2. Directory
  3. Missouri
  4. Rolla
  5. Counselor
  6. NPI Profile

BENTON STREET COUNSELING LLC
NPI 1578053955
Counselor - Professional in Rolla, MO

Active since May 11, 2018
1030 KINGSHIGHWAY ST STE A, ROLLA, MO 65401(573) 458-9920(573) 433-2829 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benton Street Counseling Llc NPPES

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

BENTON STREET COUNSELING LLC (NPI 1578053955) is a healthcare organization registered as a professional in Rolla, Missouri and active in the NPI registry since May 2018. The organization maintains 2 additional practice locations and lists Mary Ann Wyatt, Member, as its authorized official.

NPPES Registry Identity

NPI1578053955
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBENTON STREET COUNSELING LLC
Location Address1030 KINGSHIGHWAY ST STE ARolla, MO 65401-2930
Mailing Address1030 Kingshighway St Ste ARolla, MO 65401-2930 · (573) 458-9920 · Fax (573) 433-2829
Phone(573) 458-9920
Fax(573) 433-2829
Organization SubpartNo
Authorized OfficialMary Ann WyattMember · (573) 433-2833
Enumeration DateMay 11, 2018
✔ NPI 1578053955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2017011362
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 000281 (MO)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2010036135 (MO)
1030 KINGSHIGHWAY ST STE A, Rolla, MO 65401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1119 N Benton StWaynesville, MO 65583-2501 · Phone (573) 433-2833 · Fax (573) 433-2829
Location 289 McCrory DriveCamdenton, MO 65020 · Phone (573) 525-7071 · Fax (573) 525-7072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ZODIE LOVE FLEMINGS MA, LPC
Counselor (Mental Health)
1030 KINGSHIGHWAY ST STE A
ROLLA, MO 65401
Phelps County (888) 888-8821

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 Benton Street Counseling LLC's NPI number?

The NPI number for Benton Street Counseling LLC is 1578053955. It was assigned to this organization in the NPPES registry on May 11, 2018.

Where is Benton Street Counseling LLC located?

Benton Street Counseling LLC is located at 1030 Kingshighway St Ste A, Rolla, MO 65401. The listed phone number is (573) 458-9920.

What is Benton Street Counseling LLC'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 Benton Street Counseling LLC was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.