Individual provider Active NPI

Marranda Ann Bennett, LPCC

  • Mental Health Counselor
  • Berea, OH
National Provider Identifier
1801404868
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2002667 Issued in OH
Practice address
105 Front St Ste 202
Berea, OH 44017-1983
Phone
(216) 200-6546
Fax
(400) 848-1897
NPI assigned
Jul 16, 2020
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2002667 OH Primary

Addresses

Primary practice location

105 Front St Ste 202
Berea, OH 44017-1983

Mailing address

105 Front St Ste 202
Berea, OH 44017-1983
Phone (216) 312-9961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125000703 OH Practitioner - Mental Health Counselor 7214380336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2002667OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Counseling Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Minds That Bloom LLC Mental Health CurrentSince May 1, 2024 Accepting new patients
W R Healthcare Management LLC PastSince Sep 26, 2016 Accepting new patients

Locations

105 Front St
Ste 202
Berea, OH 44017
Phone (216) 200-6546

4367 Rocky River Dr
Ste 800
Cleveland, OH 44135
Phone (330) 312-1942

5555 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 461-4249

5555 Mayfield Rd
Fl Second
Lyndhurst, OH 44124

7050 Engle Rd
Ste E14
Middleburg Heights, OH 44130

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1801404868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FRONT ST STE 202",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171983",
            "telephone_number": "216-312-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRONT ST STE 202",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171983",
            "telephone_number": "216-200-6546",
            "fax_number": "400-848-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MARRANDA",
        "middle_name": "ANN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2002667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.