Megan Bennett, BS CAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Spearfish, SD
NPI 1033665237 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1033665237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 305168 (MN)
- Practice address
- 710 E Colorado Blvd
Spearfish, SD 57783 - Phone
- (605) 642-7093
- Fax
- (605) 722-3931
- NPI assigned
- Aug 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305168 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305168 | MN | Yes |
Addresses
Primary practice location
710 E Colorado Blvd
Spearfish, SD 57783
Mailing address
710 E Colorado Blvd
Spearfish, SD 57783
Phone (605) 642-7093
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466036107 | Medicaid | SD |
Other providers in Spearfish, SD
- Bayside Podiatry PA
- Brittany Azure Bearstail
- Jonathan Beeler
- Larissa Felicia Beltman
- Lexie Marie Bendigo
- Daniel Berens
- Stephanie Beutler
- Morgan Bialas
- Katherine M Bifulco
- Krista Bree Birkelo
All providers in Spearfish, SD · Addiction (Substance Use Disorder) Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.