Rebecca Smart Bennett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1255 Issued in MS

Practice address

401 Summit St RM 113
Post Office Box 206
Winona, MS 38967-2240

Phone

(662) 283-3379

Fax

(662) 283-3375

NPI assigned

Oct 5, 2012

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca S Bennett Professional name

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1962754564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SUMMIT ST RM 113",
            "address_2": "POST OFFICE BOX 206",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672240",
            "telephone_number": "662-283-3379",
            "fax_number": "662-283-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SUMMIT ST RM 113",
            "address_2": "POST OFFICE BOX 206",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672240",
            "telephone_number": "662-283-3379",
            "fax_number": "662-283-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "REBECCA",
        "middle_name": "SMART",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BENNETT",
            "middle_name": "S",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• 627 Middleton Road Opco LLC (Middleton Oaks Health and Rehabilitation)
• Abraham Dental Winona, PLLC (Harrison Dental)
• Brooke Lynn Anderson, RBT
• Roger Beardain, RPH
• Patty Beck
• Leslie Leigh Black
• Ashley Boatner
• Alyssa Boston
• Carlie Boyette
• Lorunda Brown, OTR/L

• Mental Health Counselor in Winona, MS
• Providers in Winona, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.