Mary Frances Bennett, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

78829 Issued in TX

Practice address

4000 Hulen PL Apt 231
Fort Worth, TX 76107-7373

Phone

(662) 822-9946

NPI assigned

Aug 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Luxx Therapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Richland Hills, TX
  • NPI 1003486051
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1508412834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226914",
            "telephone_number": "817-848-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HULEN PL APT 231",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077373",
            "telephone_number": "662-822-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Elizabeth Benner, PA
• Bradford Bennett Jr., MD
• Janice A. Bennett, PH.D.
• Jennifer K Bennett, PT
• Keiston F Bennett
• Penny R Bennett, PNP
• Sherree Bennett, AGPCNP-BC
• Sonya Anne Bennett, LCDC
• Traci Bennett
• Molly Ann Benninghoff, LMSW

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.