Katherine Elizabeth Bennett, KATHERINE PLPC

Individual provider Active NPI Mental Health Counselor · Bridgeport, WV

NPI 1083394498 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1083394498
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
65 Professional PL
Bridgeport, WV 26330-0258
Phone
(304) 848-5004
NPI assigned
Jul 20, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia Inc Past
since Jul 23, 2023
Accepting new patients
Community Care of West Virginia, Inc. Past
since Jul 23, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

65 Professional PL
Bridgeport, WV 26330-0258

Mailing address

609 Grant Ave
Morgantown, WV 26505-4613
Phone (304) 670-5203

Other providers in Bridgeport, WV

All providers in Bridgeport, WV · Mental Health Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.