Paul Bennett, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

906 E Bellows St # 910
Mt Pleasant, MI 48858-3940

Phone

(231) 535-2822

NPI assigned

May 14, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

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.

• Walloon Lake Recovery Lodge, LLC

  • Substance Abuse Rehabilitation Facility
  • Boyne Falls, MI
  • NPI 1750791505
  Medicare reassignment
• Bear River Primary Care

  • Family Medicine Physician
  • Gaylord, MI
  • NPI 1609427541
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1043069032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 CENTER ST",
            "city": "BOYNE FALLS",
            "state": "MI",
            "postal_code": "497139268",
            "telephone_number": "231-535-2822",
            "fax_number": "231-535-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E BELLOWS ST # 910",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583940",
            "telephone_number": "231-535-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2329 Center St",
            "address_purpose": "LOCATION",
            "city": "Boyne Falls",
            "state": "MI",
            "postal_code": "497139268",
            "country_code": "US",
            "telephone_number": "231-535-2822",
            "fax_number": "231-535-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PAUL",
        "credential": "LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Anne Benner
• Bennett Eye Care PLLC
• Jason David Bennett, O.D.
• Jillian Elizabeth Bennett, CPM
• Larry Michael Bennett, MD
• Chelsea Sue Bentley
• Kendree Rayen Berg, LMSW
• Jane Ann Bergey, MA, LLP
• Teresa Bergey, LPN
• Ashley Nicole Bergman

• Addiction (Substance Use Disorder) Counselor in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.