Sandra Lee Washington Bennett, MA, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8497 Issued in SC

Practice address

168 14TH Street
Fairfax, SC 29827

Phone

(843) 301-3470

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sandra.washington.bennett.1@19266.direct.athenahealth.com

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.

• One Step at a Time LLC

  • Professional Counselor
  • Fairfax, SC
  • NPI 1992554133
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1497508790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1456",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "29827",
            "telephone_number": "843-301-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 14TH STREET",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "29827",
            "telephone_number": "843-301-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON BENNETT",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "MA, APC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8497",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison A Stanley, M.S.N.,A.C.N.P.
• Katherine Borger Swearingen, PT
• Michael Robert Torkelson, M. D.
• Wanda W Tutt, LRD
• Kelly Futch Wall, MA, CF-SLP
• We Care Family Resource LLC
• Welvista
• Eunice E White, R.N. B.S.N. C.D.E
• Wholesome Healing Doula and Wellness
• Rebecca Lynn Wilkes, NURSE PRACTITIONER

• Mental Health Counselor in Fairfax, SC
• Providers in Fairfax, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.