Erica L Bennett, LPCC
Individual provider Active NPI Professional Counselor · Sandusky, OH
NPI 1730454869 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1730454869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C 1100214 (OH)
- Practice address
- 2500 W Strub Rd
Suite 300
Sandusky, OH 44870-5390 - Phone
- (419) 624-1277
- Fax
- (419) 624-1274
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Medical Specialists,LLC
Practice addresses (Care Compare)
2500 W Strub Rd
Suite 300
Sandusky, OH 44870-5390
Phone (419) 624-1277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240203000136 | OH | Practitioner - Mental Health Counselor | 2769825090 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 1100214 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists LLC | Current |
Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current |
Accepting new patients |
Locations
2500 W Strub Rd
Ste 300
Sandusky, OH 44870
Phone (419) 624-1277
3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C 1100214 | OH | Yes |
Addresses
Primary practice location
2500 W Strub Rd
Suite 300
Sandusky, OH 44870-5390
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
Other providers in Sandusky, OH
- Dana Charlene Beier
- Jacqueline Bekhit
- Cassandra Bencivengo
- Brittany Erin Benedict
- Brittany Leigh Bennett
- Bryna Alyse Benninghoff
- Jaime L Bentley
- Tanya Marie Bernal
- Claudia Berry
- James R Berry
All providers in Sandusky, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.