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Benjamin K Larson

Counselor - Professional β€’ Warren, OH

Active NPI 1134985542 Individual Practitioner Male Practitioner
Practice location in NPPES

8577 E Market St
Warren, OH 444842345

Call 3308566663 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8577 E Market St

Warren, OH 444842345

Telephone 3308566663
Fax 3308561581
Organization at the Same NPPES Address or Phone
Psycare, Inc. Facility NPI 1811041684

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boardman, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

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: NPI first issued

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, β€œDoes 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 Warren and Ohio

67 active clinicians are listed under Counselor - Professional with a practice address in Warren, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Warren

0% of these 67 clinicians have the CMS telehealth indicator.

13.4% of these 67 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2406657
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.2405604-TRNE
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: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

997 Boardman Canfield Rd

Boardman, OH 445124223

Phone: 3307580101

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Christy Drummond , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891412292

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Lori Funkhouser , FNP-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1194917666

Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Paul Latell , MSW, LISW-S

Social Worker - Clinical

NPI 1427357078

Master of Social Work, LISWS

Michael Maggio , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1417501412

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Douglas Muccio , PhD

Psychologist - Exercise & Sports

NPI 1497934855

Doctor of Philosophy (Ph.D.)

Dr. Brahmaiah Tandra , MD

Psychiatry & Neurology - Psychiatry

NPI 1144206087

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location December 12, 2024

Registered at 8577 E MARKET ST, WARREN, OH 444842345 (Tel: 3308566663)

βœ…
NPI Profile Active February 23, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 23, 2024

Registered at 997 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124223 (Tel: 3307580101)

πŸ“
Business Mailing Address (Initial Record) February 23, 2024

Registered at 2980 BELMONT AVE, YOUNGSTOWN, OH 445051834 (Tel: 3307590276)

πŸ‘€
Provider Name / Credentials (Initial Record) February 23, 2024

Recorded as BENJAMIN LARSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2024

Counselor (license number reported to NPPES: OH C.2405604-TRNE)

🟒
Initial NPI Registration & Enumeration February 23, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134985542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2024
Last Update: December 12, 2024
Sole Proprietor: Yes

Mailing Address

2980 Belmont Ave

Youngstown, OH 445051834

Phone: 3307590276

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.