Provider Demographics
NPI:1518721000
Name:MASSEY, BENJAMIN H II (LPC)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:H
Last Name:MASSEY
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6419 S VINEWOOD ST APT 103
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1821
Mailing Address - Country:US
Mailing Address - Phone:719-406-1214
Mailing Address - Fax:
Practice Address - Street 1:7265 KENWOOD RD STE 321
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-4416
Practice Address - Country:US
Practice Address - Phone:513-657-9337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021100101YM0800X
OHC.2305638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health