MR. BRANDON LEE BENNETT MA LPC NPI 1619478146

NPI Information

NPI: 1619478146
Provider Name: MR. BRANDON LEE BENNETT, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1443 N ROBBERSON AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 761-5848
Get Directions

MR. Brandon Lee Bennett, MA, LPC is a professional counselor in Springfield, MO. MR. Brandon Lee Bennett, MA, LPC NPI is 1619478146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1443 N ROBBERSON AVE
SPRINGFIELD, MO
ZIP 65802-840
Phone: (417) 761-5848
Fax: (417) 761-5861

The enumeration date for this NPI number is 2/21/2018 and was last updated on 11/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	2018006693	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	490056364	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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