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

Susan Ariana Tarisa Benham

Individual provider Mental Health Counselor · NPI 1154065639

Susan Ariana Tarisa Benham is a Clinical Social Worker in South Lake Tahoe, California. Qualified in 2021, 5 years ago. Practices with Barton Healthcare System, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Phone: (530) 318-4824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW107313 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1154065639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 21, 2022
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Barton Healthcare System — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in South Lake Tahoe