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1255055463 NPI number — LINDSAY ELIZABETH BENSON LPCC

NPI Number: 1255055463
Health Care Provider/Practitioner: LINDSAY ELIZABETH BENSON LPCC

Information about “1255055463” NPI (LINDSAY ELIZABETH BENSON LPCC) exists in 1255055463 in HTML format HTML  |  1255055463 in plain Text format TXT  |  1255055463 in PDF (Portable Document Format) PDF  |  1255055463 in an XML format XML  formats.

NPI Number : 1255055463 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255055463",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BENSON",
    "FirstName": "LINDSAY",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3819 51ST AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN CENTER",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55429-3368",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-269-1036",
    "MailingAddressFaxNumber": "612-435-0263",
    "FirstLinePracticeLocationAddress": "5891 CEDAR LAKE RD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ST LOUIS PARK",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55416-1460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "612-269-1036",
    "PracticeLocationAddressFaxNumber": "612-435-0263",
    "EnumerationDate": "09/30/2022",
    "LastUpdateDate": "12/29/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "CC03522",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "CC03522",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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