Active NPI
Susan Leslie Bennett, PH.D.
- Counseling Psychologist
- Denver, CO
National Provider Identifier
1083991236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3664
- Practice address
- 4700 Hale Pkwy Ste 380
Denver, CO 80220-4023 - Phone
- (720) 515-2140
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Psychologist | 103TH0004X | 3664 | CO | |
| Counseling Psychologist | 103TC1900X | 3664 | CO | Primary |
Addresses
Primary practice location
4700 Hale Pkwy Ste 380
Denver, CO 80220-4023
Mailing address
4700 Hale Pkwy Ste 380
Denver, CO 80220-4023
Phone (720) 515-2140
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3664 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083991236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 HALE PKWY STE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802204023",
"telephone_number": "720-515-2140",
"fax_number": "720-408-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 HALE PKWY STE 380",
"city": "DENVER",
"state": "CO",
"postal_code": "802204023",
"telephone_number": "720-515-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SUSAN",
"middle_name": "LESLIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CO",
"license": "3664",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "3664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.