Jamie Joy Bennett, LPCC

Individual provider Active NPI Mental Health Counselor · Willmar, MN

NPI 1295435550 · NPPES record last updated Mar 6, 2023

Key facts

NPI
1295435550
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3731 (MN)
Practice address
2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone
(320) 214-9692
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3731MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Minnesota Family Services Mental Health Current
since Mar 12, 2023
Accepting new patients

Locations

2320 Highway 12 E
Ste 2
Willmar, MN 56201
Phone (320) 214-9692

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3731 MN Yes

Addresses

Primary practice location

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811

Mailing address

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone (320) 214-9692

Other providers in Willmar, MN

All providers in Willmar, MN · Mental Health Counselor in Minnesota

Sources for this page

Verify at the official NPI Registry.