Provider Demographics
NPI:1447344171
Name:BENSFIELD, REBECCA (MA)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:BENSFIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8130 WEST 27TH STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546
Mailing Address - Country:US
Mailing Address - Phone:708-906-5478
Mailing Address - Fax:708-354-0867
Practice Address - Street 1:8130 WEST 27TH STREET
Practice Address - Street 2:
Practice Address - City:NORTH RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546
Practice Address - Country:US
Practice Address - Phone:708-906-5478
Practice Address - Fax:708-354-0867
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005688101YP2500X
IL180008382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional