Active NPI
Whitney Janine Bennett, LCAC
- Addiction (Substance Use Disorder) Counselor
- Evansville, IN
National Provider Identifier
1689280950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87001634A
- Practice address
- 201 NW 4TH St Ste 107
Evansville, IN 47708-1356 - Phone
- (812) 422-6812
- Fax
- (812) 228-1113
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001634A | IN | Primary |
Addresses
Primary practice location
201 NW 4TH St Ste 107
Evansville, IN 47708-1356
Mailing address
201 NW 4TH St Ste 107
Evansville, IN 47708-1356
Phone (812) 422-6812
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 |
|---|---|---|---|
| 87001634A | IN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Visions Counseling, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Evansville, IN
- NPI 1720559057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1689280950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NW 4TH ST STE 107",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081356",
"telephone_number": "812-422-6812",
"fax_number": "812-228-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NW 4TH ST STE 107",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081356",
"telephone_number": "812-422-6812",
"fax_number": "812-228-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "WHITNEY",
"middle_name": "JANINE",
"credential": "LCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001634A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.