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LAUREL DIANE BENSON LMFT
NPI 1700450863
Marriage & Family Therapist in Santa Rosa, CA

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
480 TESCONI CIR STE B, SANTA ROSA, CA 95401(707) 206-7268(707) 206-7254 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2025, Jun 24, 2021, May 13, 2021 (3 updates tracked since 2021).

About Laurel Diane Benson Lmft NPPES

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

LAUREL DIANE BENSON LMFT (NPI 1700450863) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (144843) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700450863
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLAUREL DIANE BENSONCredential: LMFT
Location Address480 TESCONI CIR STE BSanta Rosa, CA 95401-4691
Mailing Address480 Tesconi Cir Ste BSanta Rosa, CA 95401-4691 · (707) 206-7268 · Fax (707) 206-7254
Phone(707) 206-7268
Fax(707) 206-7254
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 13, 2021
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1700450863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 144843✔ Licensed in CA · 188910
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License AMFT294733 (CA)
480 TESCONI CIR STE B, Santa Rosa, CA 95401
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Secondary Practice Location 1

Location 1730 Sunrise AveRoseville, CA 95661-4567 · Phone (916) 782-3737

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

Laurel Diane Benson Lmft 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 ID3072009273
PECOS Enrollment IDI20260128000801
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 Reassignment

Medicare enrollment records show Laurel Benson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Siyan Clinical Corporation
Same address
Psychiatry
480 TESCONI CIR STE B
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
NPI 1568732972 (707) 206-7268

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.

MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
JACQUELINE MCCARRICK
Marriage & Family Therapist
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
MS. AMBER RAMIREZ
Case Manager/Care Coordinator
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
MS. ANDRIE IRONS
Marriage & Family Therapist
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
SIYAN CLINICAL RESEARCH
Substance Abuse Rehabilitation Facility
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
DR. ANISH SUNDERRAJAN SHAH M.D
Psychiatry & Neurology (Psychiatry)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
STEPHEN CLAY WILLIAMS M.D.
Psychiatry & Neurology (Psychiatry)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268
JESSICA SICKLER SCHMIDT PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
480 TESCONI CIR STE B
SANTA ROSA, CA 95401
Sonoma County (707) 206-7268

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 Laurel Benson's NPI number?

The NPI number for Laurel Benson is 1700450863. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Laurel Benson located?

Laurel Benson practices at 480 Tesconi Cir Ste B, Santa Rosa, CA 95401. The listed phone number is (707) 206-7268.

What is Laurel Benson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Laurel Benson enrolled in Medicare?

Yes. Laurel Benson 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 organization bills Medicare for Laurel Benson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Benson reassigns Medicare benefits to Siyan Clinical Corporation (Santa Rosa, CA). The 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 Laurel Benson'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 Laurel Benson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.