Thomas S Bennett, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1813 Issued in MA

Practice address

111 Edgartown Rd
Vineyard Haven, MA 02568-5601

Phone

(508) 693-7900

Fax

(508) 696-0401

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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.

• Martha'S Vineyard Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Bluffs, MA
  • NPI 1659387074

  Addiction (Substance Use Disorder), MA

  Medicare reassignment Care Compare group NPD

Specialty

Mental Health Counselor

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Martha'S Vineyard Community Services, Inc. 16 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2007.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1376743187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900",
            "fax_number": "508-696-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EDGARTOWN RD",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025685601",
            "telephone_number": "508-693-7900",
            "fax_number": "508-696-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "THOMAS",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "813",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1813",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Internal Medicine LLC
• April Knight LMHC PHD PC
• Michael John Balaschi
• Bee-You-Tiful ABA, LLC
• Jayne Ellen Beitman
• Nancy Carol Berger, D.C.
• Dail Marie Bouchard, LADC-1, CADAC
• Susan Ann Bowen
• Brave Therapy LLC
• Cecilia Brennan

• All providers in Vineyard Haven, MA
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.