Megan Bennett

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150102948 Issued in IL

Practice address

240 Edward St
Sycamore, IL 60178-2155

Phone

(847) 707-2689

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

• Wellspring Center for Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sycamore, IL
  • NPI 1427561299
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2020.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1023617784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782155",
            "telephone_number": "847-707-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDWARD ST",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782155",
            "telephone_number": "847-707-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150102948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Baum, M.D.
• Alexandra Baxter, PMHNP-BC
• William Baxter, DO
• Heidi J Beckstrom, APN
• Angelica Bellisario, APRN, CNP
• Shelby Bernard, ATC
• Bethesda Lutheran Homes & Services
• Donald Russell Bishop III, PSY.D.
• Black Lotus Counseling Center
• Darla Lynn Blackbourn, DTV

• All providers in Sycamore, IL
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.