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BENJAMIN BRENT CALVERT MASON LPC
NPI 1700502960
Counselor - Mental Health in West Bend, WI

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment
333 E WASHINGTON ST STE 2100, WEST BEND, WI 53095(262) 335-4584(262) 335-6827 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 26, 2024, Oct 19, 2022 (2 updates tracked since 2022).

About Benjamin Brent Calvert Mason Lpc NPPES

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

BENJAMIN BRENT CALVERT MASON LPC (NPI 1700502960) is an individual mental health provider in West Bend, Wisconsin, licensed in Wisconsin (11141) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700502960
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN BRENT CALVERT MASONCredential: LPC
Location Address333 E WASHINGTON ST STE 2100West Bend, WI 53095-2503
Mailing Address333 E Washington St Ste 2100West Bend, WI 53095-2503 · (262) 335-4584 · Fax (262) 335-6827
Phone(262) 335-4584
Fax(262) 335-6827
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 18, 2022
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1700502960 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 WI · 11141
333 E WASHINGTON ST STE 2100, West Bend, WI 53095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

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

Benjamin Brent Calvert Mason Lpc 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 ID2163969502
PECOS Enrollment IDI20240802003790
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 Reassignments

2

Medicare enrollment records show Benjamin Calvert Mason reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington County Wisconsin
Same address
Community/Behavioral Health
333 E. WASHINGTON STREET, SUITE 2100
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 18 clinicians in this Medicare group
NPI 1609801778 (262) 335-4583
Wellness West LLC
27 mi
Mental Health (Including Community Mental Health Center)
2428 N GRANDVIEW BLVD STE 101
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1306569629 (262) 259-4100

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 15

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

JONATHAN FRANCE LPC, SAC-IT
Counselor (Professional)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 365-6563
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 346-1144
MR. TRAVIS H VANDEBROWN MSW, LCSW, CSAC, ICS
Social Worker (Clinical)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4583
MR. TED CHRISTOPHER GUSZKOWSKI LCSW, SAC
Counselor (Addiction (Substance Use Disorder))
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4557
ANTHONY TADYCH M.A., LPC
Counselor (Mental Health)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4763
KELLY MARIE BELL LCSW
Social Worker (Clinical)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4600
JODI SCHRAUTH REGISTERED NURSE
Registered Nurse
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4558
JENNIFER SUE JOHNSON LPC
Counselor (Mental Health)
333 E WASHINGTON ST STE 2100
WEST BEND, WI 53095
Washington County (262) 335-4600

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 Benjamin Calvert Mason's NPI number?

The NPI number for Benjamin Calvert Mason is 1700502960. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Benjamin Calvert Mason located?

Benjamin Calvert Mason practices at 333 E Washington St Ste 2100, West Bend, WI 53095. The listed phone number is (262) 335-4584.

What is Benjamin Calvert Mason's specialty?

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

Is Benjamin Calvert Mason enrolled in Medicare?

Yes. Benjamin Calvert Mason 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 organizations bill Medicare for Benjamin Calvert Mason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Calvert Mason reassigns Medicare benefits to 2 organizations: Washington County Wisconsin (West Bend, WI) and Wellness West LLC (Waukesha, WI). Each 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 Benjamin Calvert Mason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Calvert Mason accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Benjamin Calvert Mason 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 Benjamin Calvert Mason was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.