Melissa Marie Bennett, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

26 Lawrence Ave
Holbrook, NY 11741-1009

Phone

(631) 619-6717

NPI assigned

Aug 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Ronkonkoma, NY
  • NPI 1831260082
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1104131465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 VETERANS MEMORIAL HWY STE E14",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797675",
            "telephone_number": "631-471-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LAWRENCE AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411009",
            "telephone_number": "631-619-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R. Barry, P.A.
• Erika Lynne Bauernfeind
• Barbara Ellen Bedford, LMSW
• Nicholas George Bello, D.M.D.
• Bincy Benjamin, O.D.
• Lynn Denise Bergman, O.T.R.
• Roger Berkley, P.T.
• Diane Sanchez Bianco, LCSW
• Barbara Bitzer, PT
• Donna Lynn Blank

• All providers in Holbrook, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.