Hannah Benedetti

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2303017 Issued in AR

Practice address

205 Ingram Blvd
West Memphis, AR 72301-3423

Phone

(870) 739-6818

Fax

(870) 662-6826

NPI assigned

Aug 22, 2022

Last updated

Mar 20, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kids for the Future, Inc.

  • Clinical Child & Adolescent Psychologist
  • West Memphis, AR
  • NPI 1770719106
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1285352526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2192",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723362192",
            "telephone_number": "870-208-8362",
            "fax_number": "870-208-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 INGRAM BLVD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013423",
            "telephone_number": "870-739-6818",
            "fax_number": "870-662-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDETTI",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2303017",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Health Services of West Memphis LLC
• Behavioral Health Services of West Memphis LLC
• Behavioral Health WM Operating Subsidiary, LLC
• Latasha Bell
• Brookelyn Marie Bellah, OTR/L
• Bennett L Rudorfer MD PA
• Bethel Burris Oliver PLLC (Arkansas Dentistry and Braces)
• Beyond Hope Therapeutic Services, LLC
• Katie Billings, PTA
• Taylor Billingsley, OTA

• Mental Health Counselor in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.