The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Normal and Illinois

6 active clinicians are listed under Counselor with a practice address in Normal, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-04

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180003833

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location May 04, 2020

Registered at 112 BOEYKENS PL STE 4A, NORMAL, IL 617616161 (Tel: 3092124192)

📍

Updated Business Mailing Address May 04, 2020

Registered at 112 BOEYKENS PL STE 4A, NORMAL, IL 617616161 (Tel: 3092124192)

✅

NPI Profile Active August 13, 2010

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) August 13, 2010

Registered at 104 W FRONT ST, BLOOMINGTON, IL 617015005 (Tel: 3092124192)

📍

Business Mailing Address (Initial Record) August 13, 2010

Registered at PO BOX 1883, BLOOMINGTON, IL 617021883 (Tel: 3092124192)

👤

Provider Name / Credentials (Initial Record) August 13, 2010

Recorded as MARK BENSON, MASTERS DEGREE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2010

Counselor (license number reported to NPPES: IL 180003833)

🟢

Initial NPI Registration & Enumeration August 13, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114232287

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2010

Last Update: May 04, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

112 Boeykens Pl Ste 4a

Normal, IL 617616161

Phone: 3092124192

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.