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

Jacqueline Longley Benton, LGPC

Individual provider Counselor · NPI 1588128292

Jacqueline Longley Benton, LGPC is a Mental Health Counselor in Bel Air, Maryland. Qualified in 2014, 12 years ago. Practices with Safe Harbor Behavioral Care LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone: (410) 893-4600
Fax: (410) 640-4358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC11602 (MD)
Counselor Taxonomy 101Y00000X · Licence LGP6827 (MD)

Record details

NPI number1588128292
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorNo
NPI enumeratedJanuary 27, 2019
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Safe Harbor Behavioral Care Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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