DR. CHARLES ANTHONY BENINCASA (PSYD) – Mental Health Counselor, NPI 1922649557
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
775 CLINICAL PSYCHOLOGIST in WA
Provider Addresses for DR. CHARLES ANTHONY BENINCASA (PSYD)
1728 W MARINE VIEW DR STE 109
EVERETT, WA 982012094
Phone: (425) 285-8353
Fax: (888) 240-5967
Type: Mailing
110, Maple Street, South End, Springfield, Hampden County, Massachusetts, 01105, United States
SPRINGFIELD, MA 011051864
Phone: (413) 846-4300
Fax: (413) 846-4311
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: 2022-01-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220105000655 | I | Clinical Psychologist | WA | TBD |
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.
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 98201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WA | |
| Clinical Psychologist | WA | |
| Clinical Psychologist | WA | |
| Clinical Psychologist | WA | |
| Nurse Practitioner | OR | |
| Mental Health Counselor | WA | |
| Clinical Psychologist | WA | |
| Marriage And Family Therapist | WA |
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