Active NPI
Gina Beth Bennett, LPC
- Professional Counselor
- Midwest City, OK
National Provider Identifier
1992012983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3593
- Practice address
- 2912 S Douglas Blvd
Suite a
Midwest City, OK 73130-7179 - Phone
- (405) 698-7399
- NPI assigned
- Sep 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3593 | OK | Primary |
Addresses
Primary practice location
2912 S Douglas Blvd
Suite a
Midwest City, OK 73130-7179
Mailing address
450 Echo LN
Harrah, OK 73045-9654
Phone (405) 698-7399
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 |
|---|---|---|---|
| 3593 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1992012983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ECHO LN",
"city": "HARRAH",
"state": "OK",
"postal_code": "730459654",
"telephone_number": "405-698-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S DOUGLAS BLVD",
"address_2": "SUITE A",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731307179",
"telephone_number": "405-698-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "GINA",
"middle_name": "BETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-12",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "3593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.