Healthcare Provider Details

I. General information

NPI: 1578473245
Provider Name (Legal Business Name): BENSON MENTAL HEALTH, LICENSED CLINICAL SOCIAL WORKER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9185 ARVINE CT
ATASCADERO CA
93422
US

IV. Provider business mailing address

7395 EL CAMINO REAL # 511
ATASCADERO CA
93422-4628
US

V. Phone/Fax

Practice location:
  • Phone: 805-243-8050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BENSON
Title or Position: OWNER/THERAPIST
Credential:
Phone: 805-243-8050