Nevadagabrielle Bennett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178015414 Issued in IL

Practice address

5117 Main St Ste 15
Downers Grove, IL 60515-4654

Phone

(630) 506-1491

NPI assigned

Nov 24, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1003452111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5050",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603055050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 MAIN ST STE 15",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154654",
            "telephone_number": "630-506-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NEVADAGABRIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Patrick Bellm, PA
• Anjali Benischek, FNP-BC
• Jennifer Benish, PSY.D.
• Annette Bennett, LCPC
• Kellie L Bennett, PHARMD
• Christine Bergerud
• Inez Sandra Berman, MA CCC-SLP
• Mary Justine Bernardo
• Tammy F Bernath, RDH
• Betsy L Berney, RDH

• Mental Health Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.