Individual provider Active NPI

Cheryl Ruth Bennett, LPC

  • Mental Health Counselor
  • Elgin, IL
National Provider Identifier
1477054310
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.009586 Issued in IL
Practice address
620 Wing St Ste 3
Elgin, IL 60123-2800
Phone
(847) 450-0524
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.009586ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Counseling Inc. Mental Health Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.009586 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

620 Wing St Ste 3
Elgin, IL 60123-2800

Mailing address

620 Wing St Ste 3
Elgin, IL 60123-2800
Phone (847) 450-0524

Other practice location 1

115 S 2nd St Uppr Level
St Charles, IL 60174-2812
Phone (847) 450-0524

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477054310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WING ST STE 3",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232800",
            "telephone_number": "847-450-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WING ST STE 3",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232800",
            "telephone_number": "847-450-0524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 S 2nd St Uppr Level",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742812",
            "country_code": "US",
            "telephone_number": "847-450-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHERYL",
        "middle_name": "RUTH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.009586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.