NPI Code Details Logo

NPI 1114013174

NPI 1114013174 : BYRON OBIE BENSON LSCSW : WICHITA, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1114013174
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BYRON OBIE BENSON LSCSW
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    333 S GREENWOOD ST 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67211-1844
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-264-8800
-----------------------------------------------------
    Fax                  |    316-264-8809
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    333 S GREENWOOD ST 
-----------------------------------------------------
    City                 |    WICHITA
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    67211-1844
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    316-264-8800
-----------------------------------------------------
    Fax                  |    316-264-8809
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    1957
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    1957
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    1957
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    1957
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.