1. Home
  2. Directory
  3. California
  4. North Hollywood
  5. Marriage Family Therapist
  6. NPI Profile

MISS JACQUELINE PAOLA BENAVENTE MA
NPI 1891826608
Marriage & Family Therapist in North Hollywood, CA

Active since March 07, 2007PECOS Enrolled
11490 BURBANK BLVD STE 2D, NORTH HOLLYWOOD, CA 91601(818) 821-0646 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Jacqueline Paola Benavente Ma NPPES

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

MISS JACQUELINE PAOLA BENAVENTE MA (NPI 1891826608) is an individual marriage & family therapist in North Hollywood, California, licensed in California (IMF43802) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1891826608
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMISS JACQUELINE PAOLA BENAVENTECredential: MA
Location Address11490 BURBANK BLVD STE 2DNorth Hollywood, CA 91601-2392
Mailing Address11490 Burbank Blvd Ste 2dNorth Hollywood, CA 91601-2392 · (818) 821-0646
Phone(818) 821-0646
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 16, 2015
✔ NPI 1891826608 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 · IMF43802
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.
11490 BURBANK BLVD STE 2D, North Hollywood, CA 91601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacqueline Paola Benavente Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385116805
PECOS Enrollment IDI20260616002969
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 Jacqueline Benavente reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
300 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

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

GOLDEN ROAD HOSPICE,INC.
Hospice Care, Community Based
11490 BURBANK BLVD STE 2D
NORTH HOLLYWOOD, CA 91601
Los Angeles County (818) 579-4281

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 Jacqueline Benavente's NPI number?

The NPI number for Jacqueline Benavente is 1891826608. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Jacqueline Benavente located?

Jacqueline Benavente practices at 11490 Burbank Blvd Ste 2D, North Hollywood, CA 91601. The listed phone number is (818) 821-0646.

What is Jacqueline Benavente's specialty?

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

Is Jacqueline Benavente enrolled in Medicare?

Yes. Jacqueline Benavente is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Benavente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Benavente reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Jacqueline Benavente'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 Jacqueline Benavente was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.