Individual provider Active NPI

Emily Jo Bennett, PLPC

  • Professional Counselor
  • Harrisonville, MO
National Provider Identifier
1992562417
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2024007350 Issued in MO
Practice address
105C W Wall St
Harrisonville, MO 64701-2355
Phone
(816) 974-7378
Fax
(816) 817-1619
NPI assigned
Mar 1, 2024
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.

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

LicenseStateTypeSpecialty
2024007350MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Counseling Center, LLC Professional Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2024007350 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

105C W Wall St
Harrisonville, MO 64701-2355

Mailing address

506 NE Chipman Rd Apt 74
Lees Summit, MO 64063-2581
Phone (816) 304-6513

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2024.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1992562417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 NE CHIPMAN RD APT 74",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632581",
            "telephone_number": "816-304-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105C W WALL ST",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012355",
            "telephone_number": "816-974-7378",
            "fax_number": "816-817-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "EMILY",
        "middle_name": "JO",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2024007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.