JAMES B BENDA (MA) – Marriage & Family Therapist, NPI 1184191165

JAMES B BENDA (MA) is a healthcare provider. based in Coon rapids, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. The NPI Number for JAMES B BENDA (MA) is 1184191165

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
JAMES B BENDA (MA)
NPI
1184191165
Phone
(763) 746-5068
Address
1930 COON RAPIDS BLVD NW
Enumeration Date
29 October 2018
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635758086
Graduation Year
2016 (10 years ago)
PAC ID
4284086810
Group Practice PAC ID
6608192083
Professional Enrollment ID
I20240119001411
Address ID
MN554225138GO4969XHWYX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

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Provider Addresses for JAMES B BENDA (MA)

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55434, United States

    COON RAPIDS, MN 554334708

    Phone: (763) 746-5068

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240119001411IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55433)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608192083View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorND
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How do I look up JAMES B BENDA (MA) by NPI?
Use NPI 1184191165 when you need to reference JAMES B BENDA (MA) in forms, claims, or directories.
Is JAMES B BENDA (MA) active in the national directory?
JAMES B BENDA (MA)'s public NPI profile is in an active state.
Does JAMES B BENDA (MA) list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for JAMES B BENDA (MA). Clinical services aligned with this taxonomy classification.
Where does public data place JAMES B BENDA (MA)?
The snapshot lists Coon Rapids, Minnesota for JAMES B BENDA (MA); download NPPES for the complete set.
Is JAMES B BENDA (MA) a real provider?
This page reflects official NPPES data for NPI 1184191165. Always confirm identity and privileges with the practice and licensing boards.

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