Active NPI
Erin Bennett, MC61500734
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1548089394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61500734
- Practice address
- 7708 NE 78TH St
Vancouver, WA 98662-3603 - Phone
- (360) 287-4429
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61500734 | WA | Primary |
Addresses
Primary practice location
7708 NE 78TH St
Vancouver, WA 98662-3603
Mailing address
13215 SE Mill Plain Blvd
Ste C8, #2002
Vancouver, WA 98684
Phone (360) 287-4420
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61500734 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1548089394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13215 SE MILL PLAIN BLVD",
"address_2": "STE C8, #2002",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98684",
"telephone_number": "360-287-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7708 NE 78TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986623603",
"telephone_number": "360-287-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ERIN",
"credential": "MC61500734",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61500734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.