Thomas W Bennett I, CDCA PRELIMINARY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

189578 Issued in OH

Practice address

224 Ellis PL
Marion, OH 43302-4012

Phone

(740) 361-9120

NPI assigned

Aug 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1871325720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 ELLIS PL",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024012",
            "telephone_number": "740-361-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ELLIS PL",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024012",
            "telephone_number": "740-361-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CDCA PRELIMINARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS006603",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "189578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Marie Elizabeth Belnavis, M.B.,B.S.
• Shawn Thomas Beltz, PA
• Judy Bender, LPN
• Lindsay Taylor Bender
• Aliyah Nicole Bennett
• Tory Bennett
• Christie Rachelle Benson, LPN
• Jon Carter Benson, PA-C
• Dominick S Berg, PC
• Bobbi Kay Bernstiel, QMHS CMS

• All providers in Marion, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.