Lisa Bennett, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009001 Issued in NY

Practice address

692 Blake Ave
Brooklyn, NY 11207-4875

Phone

(917) 890-0391

NPI assigned

Nov 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Bennett-Wells Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508403312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10427 198TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114121215",
            "telephone_number": "917-370-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 BLAKE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112074875",
            "telephone_number": "917-890-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LISA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-30",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa_bennett-wells@goodshepherds.org",
            "affiliation": "Y",
            "endpointDescription": "Professional email",
            "affiliationName": "Good Shepherd Services",
            "address_1": "692 Blake Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112074875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BENNETT-WELLS",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jazmine Bennett
• Julia Bennett, ACUPUNCTURIST
• Keisha Bennett
• Keisha Simone Bennett, FNP
• Laura Bennett
• O'Darius Bennett
• Renee Bennett
• Richard Bennett Jr., CASAC T
• Shani Bennett
• Shaquoya Bennett, LMSW

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.