MR. MARK ANDREW BENSON (NPI# 1114232287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114232287 |
| Entity Type | Individual |
| Full Name | MR. MARK ANDREW BENSON |
| Credential | MASTERS DEGREE |
| Practice Address |
112 Boeykens Pl Ste 4a Normal IL 61761-6161 |
| Practice Telephone | 3092124192 |
| Mailing Telephone | 3092124192 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2020-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 180003833 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069391 | Mark Benson | Registered Nurse | 4176 Chatford Cv, Tucker, GA 30084-7907 | 2019-08-21 |
| 1629145198 | Mark Palmer Benson | Internal Medicine | 707 North 7th, Pocatello, ID 83201 | 2006-11-29 |
| 1083654263 | Mark A Benson | Urology | 14416 W Meeker Blvd Ste 301, Sun City West, AZ 85375 | 2006-06-07 |
| 1871596452 | Mark Allen Benson | Optometrist | 800 6th Ave, De Witt, IA 52742-1329 | 2005-05-27 |
| 1720306608 | Mark D Benson | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2010-05-17 |
| 1760506745 | Mark Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1194808436 | Mark Benson | Family Medicine | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2006-10-23 |
| 1841211299 | Mark C Benson | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2006-07-21 |
| 1114950987 | Mark E. Benson | Internal Medicine | 600 Highland Ave., Madison, WI 53792-3284 | 2006-07-07 |
| 1548226616 | Mark Russell Benson | Internal Medicine | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2006-04-26 |
| Street Address |
112 BOEYKENS PL STE 4A |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-6161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588948046 | Bridgeway Inc | Counselor | 310 Wylie Dr, Suite 464, Normal, IL 61761-5504 | 2011-10-03 |
| 1063654192 | Mary G Moore | Counselor | 103 William Dr, Normal, IL 61761-1862 | 2009-04-06 |
| 1972547388 | Jennifer Lynn Hamilton | Counselor | 112 Boeykens Pl, Suite 4a, Normal, IL 61761-2152 | 2006-06-15 |
| 1710533427 | Alyssa Hildebrand | Counselor | 705 E Lincoln St Ste 116, Normal, IL 61761-6406 | 2019-08-18 |
| 1063993715 | Joy Razafindrakoto | Counselor | 448 Wylie Dr, Normal, IL 61761-5405 | 2018-08-21 |
| 1518419241 | Megan Fitzsimmons Fitzsimmons | Counselor | 705 E Lincoln St, Suite 303, Normal, IL 61761-6406 | 2016-10-28 |
| 1902357452 | Jennifer Fogle | Counselor | 706 Oglesby Ave, Suite112, Normal, IL 61761-4616 | 2016-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922813 | Valerie Ann Taylor | Counselor | 1230 N Washington Ave, Batavia, IL 60510-1369 | 2020-11-07 |
| 1073114088 | Astrid Larsen | Counselor | 2317 Timberline Trl, Woodstock, IL 60098-8759 | 2020-11-05 |
| 1932708690 | Mucci World Management Inc,. | Counselor | 7913 171st St, Tinley Park, IL 60477-3244 | 2020-10-22 |
| 1679172373 | Alexander Czop | Counselor | 1250 Chestnut Ave, Wilmette, IL 60091-1616 | 2020-10-22 |
| 1427656859 | Mica Coleman | Counselor | 5800 Allemong Dr, Matteson, IL 60443-1108 | 2020-10-16 |
| 1386242873 | Kelly Mann | Counselor | 301 S Henry St, Ashkum, IL 60911-7119 | 2020-10-15 |
| 1245838549 | Erika Leigh Heatley | Counselor | 32w755 Albert Dr, East Dundee, IL 60118-3202 | 2020-10-09 |
| 1851999080 | Linda D Odaniel | Counselor | 12904 Division St Apt 2a, Blue Island, IL 60406-3420 | 2020-10-09 |
| 1366058075 | Allyssa Rose Bertram | Counselor | 4055 W Peterson Ave Ste 202, Chicago, IL 60646-6183 | 2020-09-17 |
| 1952914707 | Tara Ufer | Counselor | 400 W Deming Pl Apt 9g, Chicago, IL 60614-1702 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.