MRS. CODI JO BENOLOGA LSCSW
NPI 1932559556
Social Worker - Clinical in Manhattan, KS

Active since June 14, 2016PECOS Enrolled
1115 WESTPORT DR STE D2, MANHATTAN, KS 66502(785) 560-3101(785) 527-8317 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2020, Jun 14, 2016 (2 updates tracked since 2016).

About Mrs. Codi Jo Benologa Lscsw NPPES

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

MRS. CODI JO BENOLOGA LSCSW (NPI 1932559556) is an individual clinical provider in Manhattan, Kansas, licensed in Kansas (5074) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wamego, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932559556
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. CODI JO BENOLOGACredential: LSCSW
Location Address1115 WESTPORT DR STE D2Manhattan, KS 66502-2880
Mailing Address1329 18th StBelleville, KS 66935-2209 · (785) 527-8271 · Fax (785) 527-8317
Fax(785) 527-8317
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateMay 14, 20202 updates tracked since enumeration
NPPES CertifiedMay 14, 2020
✔ NPI 1932559556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KS · 5074
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1115 WESTPORT DR STE D2, Manhattan, KS 66502

Secondary Practice Location 1

Location 11004 Lincoln AveWamego, KS 66547-1514 · Phone (785) 560-3101 · Fax (785) 527-8317

Other Identifiers 1

Medicaid201153590AKS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Codi Jo Benologa Lscsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941631071
PECOS Enrollment IDI20251014003293
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 Codi Benologa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.00 – $161.67
Typical copayment $0.00 (range $13.25 – $40.41)
Most-billed visit code NA
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Social Worker
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Social Worker (Clinical)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Social Worker (Clinical)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Counselor (Mental Health)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Counselor (Professional)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Social Worker
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Social Worker (Clinical)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502
Social Worker (Clinical)
1115 WESTPORT DR STE D2
MANHATTAN, KS 66502

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 Codi Benologa's NPI number?

The NPI number for Codi Benologa is 1932559556. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Codi Benologa located?

Codi Benologa practices at 1115 Westport Dr Ste D2, Manhattan, KS 66502. The listed phone number is (785) 560-3101.

What is Codi Benologa's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Codi Benologa enrolled in Medicare?

Yes. Codi Benologa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Codi Benologa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Codi Benologa reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Codi Benologa'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 Codi Benologa was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.