BEVERLY VISTARA BENOIT MFT - NPI 1780738518 - Marriage & Family Therapist in Santa Rosa, CA

Q: What is Beverly Benoit's NPI number?

The NPI number for Beverly Benoit is 1780738518. It was assigned to this individual provider in the NPPES registry on January 22, 2007. The provider is also known as Beverly Benoit Mft.

Q: What is Beverly Benoit's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Beverly Benoit was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Beverly Vistara Benoit Mft NPPES

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

BEVERLY VISTARA BENOIT MFT (NPI 1780738518) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC30928) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1780738518

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameBEVERLY VISTARA BENOITCredential: MFT

Location Address175 CONCOURSE BLVDSanta Rosa, CA 95403-8217

Mailing Address175 Concourse BlvdSanta Rosa, CA 95403-8217 · (707) 284-9237 · Fax (707) 284-9254

Phone(707) 284-9237

Fax(707) 284-9254

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780738518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC30928

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.

175 CONCOURSE BLVD, Santa Rosa, CA 95403

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Other Names 1

Professional Name (2)Beverly Benoit Mft

Other Identifiers 1

OtherMFC30928CA · License #

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

Beverly Vistara Benoit Mft 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 ID2365885860

PECOS Enrollment IDI20240212004368

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.

Other Providers at the Same Location NPPES 9

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

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