John William Bennett Jr., LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6801014325 Issued in MI

Practice address

255 E Liberty St
Suite 287
Ann Arbor, MI 48104-2119

Phone

(734) 668-8335

Fax

(866) 727-5331

NPI assigned

Apr 12, 2012

Last updated

Apr 12, 2012By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1528325784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E LIBERTY ST",
            "address_2": "SUITE 287",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042119",
            "telephone_number": "734-668-8335",
            "fax_number": "866-727-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E LIBERTY ST",
            "address_2": "SUITE 287",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042119",
            "telephone_number": "734-668-8335",
            "fax_number": "866-727-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801014325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Optometry LLC (Bennett Optometry)
• Bennett Optometry, LLC (Clarkson Eyecare)
• Carol Anne Bennett, LMSW
• Emma Marie Bennett
• Gavin Bennett, MD
• Kathryn Celeste Bennett, NP
• Lori Joy Bennett, MS FNP
• Olivia Bennett
• Sarah Catherine Bennett, MSW
• Steven I Bennett, O.D.

• Mental Health Counselor in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.