Individual provider Active NPI

Michele Blackwell Bennefield, M.S., LPC

  • Mental Health Counselor
  • Mauldin, SC
National Provider Identifier
1285060202
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5669 Issued in SC
Practice address
400 S Main St
Suite C
Mauldin, SC 29662-2251
Phone
(864) 313-9032
Fax
(866) 808-0926
NPI assigned
Sep 23, 2013
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5669 SC Primary
Professional Counselor 101YP2500X 5669 SC

Addresses

Primary practice location

400 S Main St
Suite C
Mauldin, SC 29662-2251

Mailing address

400 S Main St
Ste C
Mauldin, SC 29662-2251
Phone (864) 313-9032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20170215000197 SC Practitioner - Clinical Social Worker 5193008217 Practice locations: Mauldin, SC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 S Main St
Suite C
Mauldin, SC 29662-2251
Phone (864) 313-9032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bennefield & Associates, LLC Mental Health Current Accepting new patients
Bennefield & Associates, LLC PastSince Jul 1, 2012 Accepting new patients

Locations

400 S Main St
Ste C
Mauldin, SC 29662
Phone (864) 293-5025

Organizations & group practices 2

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1285060202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "STE C",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-313-9032",
            "fax_number": "866-808-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "address_2": "SUITE C",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622251",
            "telephone_number": "864-313-9032",
            "fax_number": "866-808-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNEFIELD",
        "first_name": "MICHELE",
        "middle_name": "BLACKWELL",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5669",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

Verify at the official NPI Registry.