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

Individual provider Marriage & Family Therapist · NPI 1780738518

Beverly Vistara Benoit, MFT is a Marriage and Family Therapist in Santa Rosa, California. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Licensed in
CA
In the registry since
2007
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

175 Concourse Blvd
Santa Rosa, CA 95403-8217
Phone: (707) 284-9237
Fax: (707) 284-9254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC30928 (CA)

Record details

NPI number1780738518
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address175 Concourse Blvd, Santa Rosa, CA 95403-8217

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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