Constance Loraine Bennett, M.S.,LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00607 Issued in MN

Practice address

4318 34TH Ave S
Minneapolis, MN 55406

Phone

(612) 554-9661

Fax

(612) 328-9555

NPI assigned

Aug 2, 2013

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Take Flight Counseling Services LLC

  dba Take Flight Counseling Services

  • Professional Counselor
  • Saint Paul, MN
  • NPI 1487034815
  Medicare reassignment NPD Authorized official
• Take Flight Counseling Services LLC

  dba Take Fligt Counseling Services LLC

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1124597133
  NPD Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1174955009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063831",
            "telephone_number": "612-554-9661",
            "fax_number": "612-645-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 34TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-554-9661",
            "fax_number": "612-328-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CONSTANCE",
        "middle_name": "LORAINE",
        "name_prefix": "Ms.",
        "credential": "M.S.,LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jane Benner, PHD
• Mara C Bennett-Deiss, CFNP
• Andrea Bennett, MD
• Barry L Bennett, CRNA
• Cole A Bennett, MD
• Jane Ann Bennett, LP
• Janine Bennett, MD
• Lani T Bennett, PH. D.
• Malia Katherine Bennett
• Mari Kai Bennett

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.