Individual provider Active NPI

Casey Miles Bennett, LCPC

  • Professional Counselor
  • Nottingham, MD
National Provider Identifier
1275233132
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC14101 Issued in MD
Practice address
9414 Belair Rd Ste 201
Nottingham, MD 21236-1542
Phone
(410) 529-2151
NPI assigned
Mar 8, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC14101 MD Primary

Addresses

Primary practice location

9414 Belair Rd Ste 201
Nottingham, MD 21236-1542

Mailing address

9414 Belair Rd Ste 201
Nottingham, MD 21236-1542
Phone (410) 529-2151

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

LicenseStateTypeSpecialty
LC14101MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Counseling Center, Inc CurrentSince Jul 23, 2023 Accepting new patients
Casey Bennett Counseling, LLC Current Accepting new patients
Core Counseling Services Co PastSince Mar 1, 2023 Accepting new patients
Core Clinical Services PastSince Feb 21, 2024 Accepting new patients

Locations

9414 Belair Rd
Ste 201
Nottingham, MD 21236
Phone (410) 529-2151

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1275233132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 BELAIR RD STE 201",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361542",
            "telephone_number": "410-529-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 BELAIR RD STE 201",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212361542",
            "telephone_number": "410-529-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CASEY",
        "middle_name": "MILES",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.