Whitney Janine Bennett, LCAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Evansville, IN
NPI 1689280950 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1689280950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 87001634A (IN)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001634A | IN | Yes |
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
Other providers in Evansville, IN
- Karla Lea Bengert
- Amanda Renee Bennett
- Christina N Bennett
- Kevin Stewart Bennett
- Mary Louise Bennett
- Ashley N Benoit
- Arthur Bentsen
- Brandi Michelle Beren
- Ken Berger-Shoulders
- Michael C Berger
All providers in Evansville, IN · Addiction (Substance Use Disorder) Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.