Active NPI
Marion Bennett, PHD, LPC-S
- Professional Counselor
- West Lake Hills, TX
National Provider Identifier
1235746538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20037
- Practice address
- 916 S Capital of Texas Hwy
West Lake Hills, TX 78746-5210 - Phone
- (817) 371-2947
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20037 | TX | Primary |
Addresses
Primary practice location
916 S Capital of Texas Hwy
West Lake Hills, TX 78746-5210
Mailing address
7106 Twilight Mesa Dr
Austin, TX 78737-3524
Other names 1
- Dr. Mary Bennett
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20037 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1235746538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 TWILIGHT MESA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787373524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S CAPITAL OF TEXAS HWY",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787465210",
"telephone_number": "817-371-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MARION",
"name_prefix": "Dr.",
"credential": "PHD, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "20037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BENNETT",
"prefix": "DR.",
"credential": "PHD, LPC-S",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.