Active NPI
David Michael Bennett, LPC, LCDC
- Counselor
- New Braunfels, TX
National Provider Identifier
1114327293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 71555
- Practice address
- 262 N Union Ave
New Braunfels, TX 78130-4450 - Phone
- (830) 433-5835
- NPI assigned
- Aug 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12451 | TX | |
| Counselor | 101Y00000X | 71555 | TX | Primary |
Addresses
Primary practice location
262 N Union Ave
New Braunfels, TX 78130-4450
Mailing address
2225 Bentwood Dr
New Braunfels, TX 78130-2993
Phone (830) 237-0752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71555 | TX | MD | Counselor |
| 12451 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1114327293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 BENTWOOD DR",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302993",
"telephone_number": "830-237-0752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 N UNION AVE",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304450",
"telephone_number": "830-433-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12451",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "71555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.