Individual provider Active NPI

Susan Raye Bennett, LPCMH

  • Professional Counselor
  • Seaford, DE
National Provider Identifier
1891076782
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0000565 Issued in DE
Practice address
1310 Middleford Rd
Ste 102
Seaford, DE 19973-3670
Phone
(302) 404-3399
Fax
(302) 536-7498
NPI assigned
Sep 6, 2011
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 0000565 DE Primary

Addresses

Primary practice location

1310 Middleford Rd
Ste 102
Seaford, DE 19973-3670

Mailing address

1310 Middleford Rd
Ste 102
Seaford, DE 19973-3670
Phone (302) 236-2394

Other identifiers 1

IdentifierTypeStateIssuer
000593172MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20241210004159 DE Practitioner - Mental Health Counselor 3173993045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Pathways Counseling and Consulting Services LLCGroup PAC ID 1658739008, 5 clinicians

Practice addresses (Care Compare)

1310 Middleford Rd
Suite 103
Seaford, DE 19973-3670
Phone (302) 536-1395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000565DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Counseling and Consulting Services LLC Professional CurrentSince Apr 13, 2016 Accepting new patients
Be Well Counseling, LLC Professional Current Accepting new patients

Locations

1310 Middleford Rd
Ste 102
Seaford, DE 19973
Phone (302) 404-3399

1310 Middleford Rd
Ste 103
Seaford, DE 19973
Phone (302) 536-1395

604 N Porter St
Seaford, DE 19973
Phone (302) 629-0112

Organizations & group practices 2

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1891076782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MIDDLEFORD RD",
            "address_2": "STE 102",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733670",
            "telephone_number": "302-236-2394",
            "fax_number": "302-536-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MIDDLEFORD RD",
            "address_2": "STE 102",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733670",
            "telephone_number": "302-404-3399",
            "fax_number": "302-536-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SUSAN",
        "middle_name": "RAYE",
        "name_prefix": "Ms.",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "0000565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000593172",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.