Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Rendon

Individual provider Mental Health Counselor · NPI 1194014241

Benjamin Rendon is a Clinical Social Worker in Stillwater, Oklahoma. Qualified in 2017, 9 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
9
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1624 Cimarron Plz
Stillwater, OK 74075-3467
Phone: (053) 722-2024
Fax: (405) 372-2237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1194014241
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2011
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address1624 Cimarron Plaza, Stillwater, OK 74075-2847

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Stillwater