Corey D Benjamin, CADC, CRM, QMHA
Counselor, Addiction (Substance Use Disorder) in Beaverton, Oregon
1104699099- Practice location
- 3800 SW Cedar Hills Blvd Ste 170, Beaverton, OR 97005-2020
- Phone
- 503-626-1800
- Fax
- —
- Last updated
- November 28, 2024
Corey D Benjamin, CADC, CRM, QMHA is a Counselor, Addiction (Substance Use Disorder) based in Beaverton, OR. Corey D Benjamin, CADC, CRM, QMHA holds the professional credentials of CADC, CRM, QMHA. The NPI number for Corey D Benjamin, CADC, CRM, QMHA is 1104699099 and holds license No. 23-QMHA-R-4572 (OR). The current practice location address is 3800 SW Cedar Hills Blvd Ste 170, Beaverton, OR 97005-2020 and the office can be reached by phone at 503-626-1800. The NPI was assigned on November 1, 2023 and the record was last updated in NPPES on November 28, 2024.
●Provider Profile Details
- NPI Number
- 1104699099
- Provider Name
- Corey D Benjamin
- Credential
- CADC, CRM, QMHA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Enumeration Date
- November 1, 2023
- Last Update Date
- November 28, 2024
- Certification Date
- November 28, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020 - City
- Beaverton
- State
- Oregon
- ZIP
- 97005-2020
- Country
- US
- Phone Number
- 503-626-1800
✉Business Mailing Address
- Address
- 3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020 - City
- Beaverton
- State
- OR
- ZIP
- 97005-2020
- Phone Number
- 503-626-1800
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | No | 23-QMHA-R-4572 | OR |
| Peer Specialist | 175T00000X | No | 23-CRM-2525 | OR |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | Yes | T-22-2156 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Corey D Benjamin, CADC, CRM, QMHA?
The NPI number of Corey D Benjamin, CADC, CRM, QMHA is 1104699099. It was assigned on November 1, 2023 and is currently active in the NPPES registry.
What is the specialty of Corey D Benjamin, CADC, CRM, QMHA?
Corey D Benjamin, CADC, CRM, QMHA is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X) and holds license No. 23-QMHA-R-4572 (OR).
Where does Corey D Benjamin, CADC, CRM, QMHA practice?
The practice location is 3800 SW Cedar Hills Blvd Ste 170, Beaverton, OR 97005-2020. The office can be reached at 503-626-1800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104699099 directly on the NPPES registry website at npiregistry.cms.hhs.gov.