Individual provider Active NPI

Timothy Francis Bennett, M.A. LPC/CAC

  • Addiction (Substance Use Disorder) Counselor
  • Hershey, PA
National Provider Identifier
1427073477
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
227064 Issued in PA
Practice address
825 Fishburn Rd
Hershey, PA 17033-2015
Phone
(717) 533-7404
Fax
(717) 520-1295
NPI assigned
Jul 12, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 227064 PA Primary
Professional Counselor 101YP2500X PC001611 PA

Addresses

Primary practice location

825 Fishburn Rd
Hershey, PA 17033-2015

Mailing address

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 533-7404

Other identifiers 2

IdentifierTypeStateIssuer
A257595OtherPAVALUE OPTIONS
50000176OtherPACAPITAL BLUE CROSS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
227064PAMDAddiction (Substance Use Disorder) Counselor
PC001611PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1427073477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FISHBURN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332015",
            "telephone_number": "717-533-7404",
            "fax_number": "717-520-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FISHBURN RD",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332015",
            "telephone_number": "717-533-7404",
            "fax_number": "717-520-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "M.A. LPC/CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "227064",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A257595",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50000176",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.