Ayisha Bennett

Individual provider Active NPI Mental Health Counselor · Mansfield Center, CT

NPI 1962827527 · NPPES record last updated Feb 19, 2014

Key facts

NPI: 1962827527
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
Practice address: 7B Ledgebrook Dr
Mansfield Center, CT 06250-1664
Phone: (860) 456-0038
Fax: (860) 456-8765
NPI assigned: Feb 19, 2014
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Community Health Resources, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Windsor, CT · NPI 1215979810

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Community Health Resources, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X			Yes

Addresses

Primary practice location

7B Ledgebrook Dr
Mansfield Center, CT 06250-1664

Mailing address

7B Ledgebrook Dr
Mansfield Center, CT 06250-1664
Phone (860) 456-0038

Other providers in Mansfield Center, CT

All providers in Mansfield Center, CT · Mental Health Counselor in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.