Active NPI
Cindy (Cynthia) Marie (M.) Bennett, MSW, LCSW
- Mental Health Counselor
- Grand Island, NE
National Provider Identifier
1508921719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1277
- Practice address
- 1515 S Newcastle Rd.
Grand Island, NE 68801-0741 - Phone
- (308) 390-9103
- Fax
- (308) 382-5315
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7310 | NE | |
| Clinical Social Worker | 1041C0700X | 6364 | NE | |
| Mental Health Counselor | 101YM0800X | 1277 | NE | Primary |
| Clinical Social Worker | 1041C0700X | 3362 | NE |
Addresses
Primary practice location
1515 S Newcastle Rd.
Grand Island, NE 68801-0741
Mailing address
1515 S Newcastle Rd.
Grand Island, NE 68801-0741
Phone (308) 390-9103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025173100 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3362 | NE | MD | Clinical Social Worker |
| 6364 | NE | MD | Family Medicine Physician |
| 7310 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1508921719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 S NEWCASTLE RD.",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688010741",
"telephone_number": "308-390-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S NEWCASTLE RD.",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688010741",
"telephone_number": "308-390-9103",
"fax_number": "308-382-5315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "CINDY (CYNTHIA)",
"middle_name": "MARIE (M.)",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "7310",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "6364",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1277",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NE",
"license": "3362",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025173100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.