MRS. SHIRLEY R BENSON-ROGERS (MS, LADC) – Professional Counselor, NPI 1326653601

MRS. SHIRLEY R BENSON-ROGERS (MS, LADC) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LADC. They hold a License No. CC03443 (MN). The NPI Number for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC) is 1326653601

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHIRLEY R BENSON-ROGERS (MS, LADC)
NPI
1326653601
Phone
(612) 235-6259
Address
2118 BLAISDELL AVE
Enumeration Date
13 September 2020
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6127670300
Graduation Year
2020 (6 years ago)
PAC ID
5193224962
Group Practice PAC ID
4587108055
Professional Enrollment ID
I20250819000470
Address ID
MN554043382MI2217XAVEX300

Contacts

Main Contact
NUWAY
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC)

  • 2118 BLAISDELL AVE

    MINNEAPOLIS, MN 554042415

    Phone: (612) 235-6259

    Fax: (612) 872-8855

    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: 2025-08-19

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
I20250819000470IMental Health CounselorMNTBD

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 55404)

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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: 4587108055View full group profile
NameSpecialtyState
Clinical PsychologistMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What NPI should I save for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC)?
Save NPI 1326653601 if you need a stable reference for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC).
Is MRS. SHIRLEY R BENSON-ROGERS (MS, LADC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. SHIRLEY R BENSON-ROGERS (MS, LADC) list a primary specialty?
If you are matching referrals, note Professional Counselor for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SHIRLEY R BENSON-ROGERS (MS, LADC)?
The snapshot lists Minneapolis, Minnesota for MRS. SHIRLEY R BENSON-ROGERS (MS, LADC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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