BENJAMIN NORTHRUP (MA) – Professional Counselor, NPI 1144902883

BENJAMIN NORTHRUP (MA) is a healthcare provider. based in Mountville, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. PC017111 (PA). The NPI Number for BENJAMIN NORTHRUP (MA) is 1144902883

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN NORTHRUP (MA)
NPI
1144902883
Phone
(877) 907-7970
Address
PO BOX 597
Enumeration Date
2 August 2023
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5703236944
Graduation Year
2021 (5 years ago)
PAC ID
5193267888
Group Practice PAC ID
1052201571
Professional Enrollment ID
I20240610002318
Address ID
PA175518805MI7930XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for BENJAMIN NORTHRUP (MA)

  • PO BOX 597

    MOUNTVILLE, PA 175540597

    Phone: (877) 907-7970

    Type: Mailing

  • 1000 COMMERCE PARK DR STE 110

    WILLIAMSPORT, PA 177015475

    Phone: (570) 323-6944

    Type: Location

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: 2024-06-10

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
I20240610002318IMental Health CounselorPATBD

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 17554)

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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: 1052201571View full group profile
NameSpecialtyState
Marriage And Family TherapistPA
P S Y C H I A T R YPA
-PA
Nurse PractitionerPA
Mental Health CounselorPA
Nurse PractitionerPA
-PA
Nurse PractitionerMA
Clinical PsychologistPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Does BENJAMIN NORTHRUP (MA) have a public NPI I can cite?
Public records show BENJAMIN NORTHRUP (MA) under NPI 1144902883.
Is BENJAMIN NORTHRUP (MA)'s NPI status active today?
Active status means BENJAMIN NORTHRUP (MA)'s NPI record is not deactivated in the public file.
Which specialty label fits BENJAMIN NORTHRUP (MA)?
NPPES ties BENJAMIN NORTHRUP (MA) to Professional Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BENJAMIN NORTHRUP (MA)?
The directory associates BENJAMIN NORTHRUP (MA) with Mountville, Pennsylvania. Check all listed addresses for suites or satellite offices.
Who maintains BENJAMIN NORTHRUP (MA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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