Myia Bennett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74888 Issued in TX

Practice address

13155 Noel Rd Ste 900
Dallas, TX 75240-6882

Phone

(972) 435-6453

Fax

(972) 947-5273

NPI assigned

Jun 29, 2016

Last updated

Feb 26, 2020By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1366893489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 NOEL RD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406882",
            "telephone_number": "972-435-6453",
            "fax_number": "972-947-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 NOEL RD STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406882",
            "telephone_number": "972-435-6453",
            "fax_number": "972-947-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MYIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "74888",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74888",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74888",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "74888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dieter Bennett, M.D.
• Joshua Leroy Bennett, DDS
• Kara Austin Bennett, MD
• Latisha Ann Bennett
• Lee Wall Bennett, MD
• Paige Madison Bennett, PMHNP-BC
• Robert D. Bennett, M.D.
• S Charles Bennett IV, AA
• Sarah Rabb Bennett, LCSW
• Sharon Dianne Bennett, LMT

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.