DR. BENJAMIN LEE GIESBRECHT (PSY.D.) – Clinical Psychologist, NPI 1417277211

DR. BENJAMIN LEE GIESBRECHT (PSY.D.) is a healthcare provider. based in Webster groves, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2009004749 (MO). The NPI Number for DR. BENJAMIN LEE GIESBRECHT (PSY.D.) is 1417277211

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN LEE GIESBRECHT (PSY.D.)
NPI
1417277211
Phone
(314) 365-6770
Address
341 PAGE AVE
Enumeration Date
3 June 2010
Last Update Date
22 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
0143697078
Group Practice PAC ID
1850632415
Professional Enrollment ID
I20221107002391
Address ID
OR975010000MEPOXXXBOXX295
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

158 CLINICAL PSYCHOLOGIST in NV

Provider Addresses for DR. BENJAMIN LEE GIESBRECHT (PSY.D.)

  • 341 PAGE AVE

    WEBSTER GROVES, MO 631192626

    Phone: (314) 365-6770

    Type: Mailing

  • 1000 LOCUST ST

    RENO, NV 895022597

    Phone: (775) 786-7200

    Type: Location

  • 8495 CRATER LAKE HWY

    WHITE CITY, OR 975033011

    Phone: (541) 826-2111

    Type: Mailing

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: 2022-11-07

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
I20221107002391IClinical PsychologistORTBD

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 63119)

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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: 1850632415View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Clinical PsychologistCA
Nurse PractitionerOR
Marriage And Family TherapistCA
Clinical PsychologistOR
Clinical Social WorkerOR
Clinical PsychologistOR
Clinical Social WorkerOR
Clinical PsychologistOR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BENJAMIN LEE GIESBRECHT (PSY.D.)?
DR. BENJAMIN LEE GIESBRECHT (PSY.D.) — NPI 1417277211 — is the standard way to identify this listing.
Is DR. BENJAMIN LEE GIESBRECHT (PSY.D.) still practicing?
DR. BENJAMIN LEE GIESBRECHT (PSY.D.) is currently listed as active in the public NPI registry.
What is DR. BENJAMIN LEE GIESBRECHT (PSY.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. BENJAMIN LEE GIESBRECHT (PSY.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. BENJAMIN LEE GIESBRECHT (PSY.D.) list a practice location?
Patients near Webster Groves, Missouri may find DR. BENJAMIN LEE GIESBRECHT (PSY.D.) in results; validate coverage separately.
Is the information about DR. BENJAMIN LEE GIESBRECHT (PSY.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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