Active NPI
Katina Lynn Bennett, LLPC
- Counselor
- Chesterfield, MI
National Provider Identifier
1942703806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401016114
- Practice address
- 30472 23 Mile Rd
Chesterfield, MI 48047-1844 - Phone
- (586) 863-4000
- Fax
- (586) 863-4004
- NPI assigned
- Mar 16, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401016114 | MI | Primary |
Addresses
Primary practice location
30472 23 Mile Rd
Chesterfield, MI 48047-1844
Mailing address
54710 Bates Rd
Chesterfield, MI 48051-1621
Phone (586) 219-2791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401016114 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hetal Patel, M.D. P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Chesterfield, MI
- NPI 1447672944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1942703806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54710 BATES RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480511621",
"telephone_number": "586-219-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30472 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480471844",
"telephone_number": "586-863-4000",
"fax_number": "586-863-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "KATINA",
"middle_name": "LYNN",
"credential": "LLPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401016114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.