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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.