Amy Louise Gibbs Bennett, LCPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC14374 Issued in MD

Practice address

139 Log Canoe Cir
Stevensville, MD 21666-2127

Phone

(443) 808-1083

NPI assigned

Oct 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Evergreen Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stevensville, MD
  • NPI 1548045859
  NPD Authorized official

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1376140285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "443-808-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "443-808-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "AMY",
        "middle_name": "LOUISE GIBBS",
        "credential": "LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Surgery Centers - Kent Island
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• Bellwether Therapy LLC
• Charles N. Bethmann, P.A.-C
• Crystal Renee Blanchard, MA. LCPC
• Blue Heron Coastal Counseling and Wellness LLC
• Amberly Boardley, RN
• Benjamin Boches

• Mental Health Counselor in Stevensville, MD
• Providers in Stevensville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.