Individual provider Active NPI

Adrian Vantrice Bennett, LPC

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1013170075
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3954 Issued in TN
Practice address
2021 21St Ave
Suite C400
Nashville, TN 37212-4350
Phone
(615) 748-0625
Fax
(615) 369-3059
NPI assigned
Jul 9, 2008
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3954 TN Primary

Addresses

Primary practice location

2021 21St Ave
Suite C400
Nashville, TN 37212-4350

Mailing address

2021 21St Ave
Suite C400
Nashville, TN 37212-4350
Phone (615) 748-0625

Other names 1

  • Mr. Adrian Vantrice Bennett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3954TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synchronous Health, Inc Professional CurrentSince Aug 1, 2021 Accepting new patients

Locations

2021 21st Ave S
Ste C400
Nashville, TN 37212
Phone (615) 293-7462

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1013170075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE",
            "address_2": "SUITE C400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124350",
            "telephone_number": "615-748-0625",
            "fax_number": "615-369-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE",
            "address_2": "SUITE C400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124350",
            "telephone_number": "615-748-0625",
            "fax_number": "615-369-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ADRIAN",
        "middle_name": "VANTRICE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "BENNETT",
            "middle_name": "VANTRICE",
            "prefix": "MR.",
            "credential": "CASE MANAGER/CARE CO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.