MS. COURTNEY CAMP BENSON (NPI# 1851847511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851847511 |
| Entity Type | Individual |
| Full Name | MS. COURTNEY CAMP BENSON |
| Credential | M.A., LPA, LCAS-A |
| Practice Address |
101 Colvard St Jefferson NC 28640 |
| Mailing Address |
284 Executive Park Drive Ste 100 Concord NC 28025-1894 |
| Practice Telephone | 3362464542 |
| Practice Fax Number | 3362462364 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2017-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCASA-21876 | NC | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 5099 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821229410 | Courtney Benson | Social Worker | 2345 S Lynhurst Dr Ste 205, Indianapolis, IN 46241-5100 | 2009-07-31 |
| Street Address |
101 COLVARD ST |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275500761 | Paige A Stephens | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2006-03-02 |
| 1194360925 | Willow Green Portela | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2019-11-15 |
| 1477034791 | Robin Jones | Clinical Nurse Specialist | 101 Colvard St, Jefferson, NC 28640 | 2018-08-24 |
| 1700329042 | Richard Allen Bare | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2016-11-18 |
| 1700156551 | Jennifer Archer Keely | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2012-01-11 |
| 1699042986 | Daymark Recovery Service Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-11-30 |
| 1720364250 | Daymark Recovery Services Inc | Counselor | 101 Colvard St, Unit 1, Jefferson, NC 28640-9797 | 2011-10-28 |
| 1669638599 | Ashley Wayne Harris | Counselor | 101 Colvard St, Jefferson, NC 28640-9797 | 2008-07-30 |
| 1194917823 | Jonna M. Mcgarity | Social Worker | 101 Colvard St, Unit 2, Jefferson, NC 28640-9797 | 2007-08-16 |
| 1659414449 | Marian J. Peters | Physician Assistant | 101 Colvard St, Jefferson, NC 28640-9797 | 2007-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295985414 | Michael Joseph Fitzgerald | Psychologist | 1038 Meadowood Lane, Jefferson, WI 53549-1910 | 2008-09-24 |
| 1497273049 | Marisa Gabrielle Schorr | Psychologist | 413 Mcconnell St, Jefferson, NC 28640 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338749 | Akaosa Onuma Eleanya | Psychologist | 4413 Wedgewood Dr, Raleigh, NC 27604-5098 | 2020-08-24 |
| 1720698939 | Blue Ridge Behavior Systems Inc | Psychologist | 16147 Lancaster Hwy Ste 110, Charlotte, NC 28277-4196 | 2020-08-03 |
| 1538778584 | Stephanie Goodson | Psychologist | 1638 Lookout Cir, Waxhaw, NC 28173-8085 | 2020-07-27 |
| 1205453388 | Gregory A Welikson, Phd, Pllc | Psychologist | 1334 Daventry Ct, Chapel Hill, NC 27517-9412 | 2020-07-06 |
| 1689297921 | David B Spano | Psychologist | 3205 N Mcdowell St, Charlotte, NC 28205-1552 | 2020-05-21 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1407487226 | James Francis Skane Jr. | Psychologist | 123 S 29th St, Wilmington, NC 28403-1223 | 2020-01-30 |
| 1932746294 | Lindsay Pulver | Psychologist | 3501 Sherbourne Ln, Greensboro, NC 27405-4964 | 2019-12-05 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
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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.