Individual provider Active NPI

Rhonda Lynette Bennett, LPCC

  • Professional Counselor
  • Thoreau, NM
National Provider Identifier
1427446186
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2023-1043 Issued in NM
Practice address
15 Navarre Blvd.
Thoreau, NM 87323-1017
Phone
(505) 862-7417
NPI assigned
Jan 5, 2015
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0198691 NM
Professional Counselor 101YP2500X CTB-2023-1043 NM Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

15 Navarre Blvd.
Thoreau, NM 87323-1017

Mailing address

PO Box 1017
Thoreau, NM 87323-1017
Phone (505) 862-7417

Other practice location 1

707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Phone (505) 345-8471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003208 NM Practitioner - Mental Health Counselor 6608301296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0198691NMMDMental Health Counselor
CTB-2023-1043NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Sep 16, 2024 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 16, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients

Locations

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1427446186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873231017",
            "telephone_number": "505-862-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NAVARRE BLVD.",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873231017",
            "telephone_number": "505-862-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Broadway Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022360",
            "country_code": "US",
            "telephone_number": "505-345-8471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RHONDA",
        "middle_name": "LYNETTE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0198691",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-1043",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thoreau, NM

Sources for this page

Verify at the official NPI Registry.