Provider Demographics
NPI:1104587724
Name:BENSON, RACHEL ELAINE (MA, LCPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELAINE
Last Name:BENSON
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1305 JACKS LANE
Mailing Address - Street 2:
Mailing Address - City:CREAL SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:62922
Mailing Address - Country:US
Mailing Address - Phone:618-364-5223
Mailing Address - Fax:
Practice Address - Street 1:1305 JACKS LANE
Practice Address - Street 2:
Practice Address - City:CREAL SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:62922
Practice Address - Country:US
Practice Address - Phone:618-364-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014265101YP2500X
IL178.015212102L00000X
IL180014265101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst