Michael Bennett

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

278538 Issued in KY

Practice address

80 Codell Dr Ste 230
Lexington, KY 40509-1178

Phone

(859) 309-2877

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Practice Associates of Lexington PSCGroup PAC ID 0749275022, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Practice Associates of Lexington PSC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1053316596
  Medicare reassignment Care Compare group NPD
• The Trauma-Informed Counseling Center LLC

  • Clinic/Center
  • Lexington, KY
  • NPI 1558210948
  NPD (past)
• The Trauma-Informed Counseling Center LLC

  • Professional Counselor
  • Lexington, KY
  • NPI 1770067324
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1891337622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N. LEXINGTON AVE",
            "city": "WILMORE",
            "state": "KS",
            "postal_code": "40390",
            "telephone_number": "904-568-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CODELL DR STE 230",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091178",
            "telephone_number": "859-309-2877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmore",
            "state": "KY",
            "postal_code": "403901129",
            "country_code": "US",
            "telephone_number": "859-279-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "278538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Bennett, PA-C
• Hannah Edwards Bennett, PHARMD, BCPS
• Howard N Bennett, PA-C
• Jordan Leigh Bennett, DPT
• Kimberly Ann Bennett, APRN, PA-C
• Richard L Bennett, M.D.
• Sarah Bennett
• Zachery Bennett
• Emily Kate Benningfield
• David Bennington, PHARMD

• Professional Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.