Organization Active NPI

J S Bennett LLC

  • Mental Health Counselor
  • Greensburg, PA
National Provider Identifier
1861266306
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
J S BENNETT LLC
Practice address
8120 State Route 819
Greensburg, PA 15601-7508
Phone
(203) 820-2838
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Jill Stockmal Bennett, LCSWNPI 1346339835
Title
Manager
Phone
(860) 538-6876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8120 State Route 819
Greensburg, PA 15601-7508

Mailing address

8120 State Route 819
Greensburg, PA 15601-7508
Phone (203) 820-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250529001759 CT Part B Supplier - Clinic/Group Practice 6305365628 Receives reassigned benefits from 1 practitioner
Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1861266306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 STATE ROUTE 819",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017508",
            "telephone_number": "203-820-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 STATE ROUTE 819",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017508",
            "telephone_number": "203-820-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S BENNETT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "STOCKMAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-538-6876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.