Kerry Bennett, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC5191 Issued in ME

Practice address

20 Fairfield Hill Rd
Kennebunkport, ME 04046-5222

Phone

(206) 930-6435

NPI assigned

Feb 1, 2022

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Previously, effective Aug 1, 2024 through Aug 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kerry Bennett, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cape Elizabeth, ME
  • NPI 1477232601
  NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1619620424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FAIRFIELD HILL RD",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465222",
            "telephone_number": "206-930-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FAIRFIELD HILL RD",
            "city": "KENNEBUNKPORT",
            "state": "ME",
            "postal_code": "040465222",
            "telephone_number": "206-930-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KERRY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Ray Alexander, M.D.
• Eric Tyler Beaudoin, PSYD
• Vincent E Bolton, M.D.
• Geoffrey M. Bove, DC, PHD
• Colonial Pharmacy Inc (Colonial Pharmacy)
• David Betses
• Jennifer Dowling

• Professional Counselor in Kennebunkport, ME
• Providers in Kennebunkport, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.