NPIMap

Organization Active NPI

Marissa Bennett Consulting, LLC

  • Behavior Analyst
  • Northbrook, IL
National Provider Identifier
1003466186
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MARISSA BENNETT CONSULTING, LLC
Practice address
666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738
Phone
(847) 495-2640
Fax
(847) 324-2184
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Ms. Marissa Bennett, MSED, BCBANPI 1952858409
Title
Owner
Phone
(847) 651-9907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738

Mailing address

666 Dundee Rd Ste 1605
Northbrook, IL 60062-2738
Phone (847) 495-2640

National Provider Directory

National Provider Directory

Locations

666 Dundee Rd
Ste 1605
Northbrook, IL 60062
Phone (847) 495-2640

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1003466186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1605",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622738",
            "telephone_number": "847-495-2640",
            "fax_number": "847-324-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1605",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622738",
            "telephone_number": "847-495-2640",
            "fax_number": "847-324-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA BENNETT CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-651-9907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.