Individual provider Active NPI

Cameron M Bennett, M.S.

  • Marriage & Family Therapist
  • Centennial, CO
National Provider Identifier
1063804292
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0002580 Issued in CO
Practice address
16283 E Belleview Dr
Centennial, CO 80015-4157
Phone
(785) 491-1508
Fax
(888) 570-3009
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LCMFT2813 KS
Marriage & Family Therapist 106H00000X LMFT7180 ID
Marriage & Family Therapist 106H00000X LMFT 2670 KS
Marriage & Family Therapist 106H00000X 2021026434 MO
Marriage & Family Therapist 106H00000X 0002580 CO Primary

Addresses

Primary practice location

16283 E Belleview Dr
Centennial, CO 80015-4157

Mailing address

16283 E Belleview Dr
Centennial, CO 80015-4157
Phone (785) 491-1508

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0002580COMDProfessional Counselor
LMFT7180IDMDMarriage & Family Therapist
LCMFT2813KSMDMarriage & Family Therapist
LMFT 2670KSMDMarriage & Family Therapist
2021026434MOMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1063804292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 E BELLEVIEW DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154157",
            "telephone_number": "785-491-1508",
            "fax_number": "888-570-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 E BELLEVIEW DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154157",
            "telephone_number": "785-491-1508",
            "fax_number": "888-570-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CAMERON",
        "middle_name": "M",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LCMFT2813",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT7180",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LMFT 2670",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2021026434",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0002580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.