Active NPI
Angel Lee Bennett
- Mental Health Counselor
- Port Saint Lucie, FL
National Provider Identifier
1831002377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 29836
- Practice address
- 540 NW University Blvd Ste 204
Port Saint Lucie, FL 34986-2281 - Phone
- (772) 494-7770
- NPI assigned
- Sep 25, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 29836 | FL | Primary |
Addresses
Primary practice location
540 NW University Blvd Ste 204
Port Saint Lucie, FL 34986-2281
Mailing address
386 NW Stratford LN
Port Saint Lucie, FL 34983-3432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1831002377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 NW STRATFORD LN",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349833432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 NW UNIVERSITY BLVD STE 204",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862281",
"telephone_number": "772-494-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ANGEL",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "29836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.