MERCEDES BENTON MS
NPI 1831929058
Counselor - Mental Health in Mattoon, IL
Active since August 02, 2024
About Mercedes Benton Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCEDES BENTON MS (NPI 1831929058) is an individual mental health provider in Mattoon, Illinois and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1831929058
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMERCEDES BENTONCredential: MS
Location Address750 BROADWAY AVE EMattoon, IL 61938-4610
Mailing Address750 Broadway Ave EMattoon, IL 61938-4610 · (217) 238-5735
Phone(217) 238-5735
Sole ProprietorNo
Enumeration DateAugust 2, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1831929058 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
750 BROADWAY AVE E, Mattoon, IL 61938
Other Names 1
Former Name (1)Mercedes Kirby
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831929058, enumerated as an "individual" on August 02, 2024.
The provider is located at 750 BROADWAY AVE E MATTOON, IL 61938 and the phone number is (217) 238-5735.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
