Bennett Counseling and Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BENNETT COUNSELING AND WELLNESS, PLLC

Practice address

515 E Broad St
Statesville, NC 28677-5330

Phone

(704) 251-2797

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Mary C Bennett, LCSWNPI 1609228220

Title

LCSW/Owner

Phone

(704) 251-2797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Chandler a. Bennett, LCSW

  • Clinical Social Worker
  • Wilson, NC
  • NPI 1609228220
  Medicare reassignment NPD Authorized official
• William Bennett, LCMHCA

  • Mental Health Counselor
  • Statesville, NC
  • NPI 1306551601
  NPD
• Crystal Alexander, LMCHCA

  • Mental Health Counselor
  • Cornelius, NC
  • NPI 1225655244
  NPD (past)
• Paul D. Veach, LMFT, LCAS

  • Marriage & Family Therapist
  • Mooresville, NC
  • NPI 1528111929
  NPD (past)

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1528641123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775330",
            "telephone_number": "704-500-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775330",
            "telephone_number": "704-251-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "704-251-2797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Physical Therapy of NC, LLC
• Michael Benfield
• Makalyn Alyson Benge
• Benjamin E Dunlap MD PA
• Hunter Mackenzie Benjamin, BCBA, LBA
• Kelly A Bennett, PA
• Kristine M Bennett, PA-C
• William Bennett, LCMHCA
• Lisa Renaye Bentley, LPC
• Ralph L Bentley, M.D.

• Clinical Social Worker in Statesville, NC
• Providers in Statesville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.