Demetria L Bennett, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006641 Issued in MI

Practice address

516 S. Creyts Rd, Suite F
Lansing, MI 48917-8268

Phone

(517) 323-1767

NPI assigned

Aug 6, 2012

Last updated

Jul 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Demetria L Bennett Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• New Perspectives

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warner Robins, GA
  • NPI 1629691712
  NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1073860474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S CREYTS RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178268",
            "telephone_number": "517-323-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S. CREYTS RD, SUITE F",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178268",
            "telephone_number": "517-323-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DEMETRIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMETRIA",
            "last_name": "BENNETT",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlin Benjamin, LMSW
• Scott Benjamin, P.T.
• Bennett Optometry LLC (Clarkson Eyecare)
• Bennett Optometry LLC (Clarkson Eyecare)
• Courtney Bennett, LLPC
• Karis Bennett, DO
• Lisa M Bennett, CRNA
• Michael Bennett, LLMSW
• Molly Bennett
• Peter G Bennick, P.A.

• Marriage & Family Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.