PAUL BENNETT LLC
NPI 1043069032
Counselor - Addiction (Substance Use Disorder) in Mt Pleasant, MI

Q: What is Paul Bennett's NPI number?

The NPI number for Paul Bennett is 1043069032. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Q: What is Paul Bennett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Paul Bennett was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 14, 2024PECOS Enrolled

906 E BELLOWS ST # 910, MT PLEASANT, MI 48858(231) 535-2822 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Paul Bennett Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL BENNETT LLC (NPI 1043069032) is an individual addiction (substance use disorder) provider in Mt Pleasant, Michigan and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boyne Falls.

NPPES Registry Identity

NPI1043069032

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NamePAUL BENNETTCredential: LLC

Location Address906 E BELLOWS ST # 910Mt Pleasant, MI 48858-3940

Mailing Address2329 Center StBoyne Falls, MI 49713-9268 · (231) 535-2822 · Fax (231) 535-2372

Phone(231) 535-2822

Sole ProprietorNo

Enumeration DateMay 14, 2024

NPPES CertifiedMay 14, 2024

✔ NPI 1043069032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

906 E BELLOWS ST # 910, Mt Pleasant, MI 48858

Open in Google Maps ↗

Secondary Practice Location 1

Location 12329 Center StBoyne Falls, MI 49713-9268 · Phone (231) 535-2822 · Fax (231) 535-2372

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Bennett Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Walloon Lake Recovery Lodge, LLC

109 mi

Substance Abuse Rehabilitation Facility

2329 CENTER ST
Boyne Falls, MI 49713

Reassigned Medicare billing, Michigan enrollment
5 clinicians in this Medicare group

NPI 1750791505 (231) 535-2822

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Bennett's NPI number?

The NPI number for Paul Bennett is 1043069032. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Paul Bennett located?

Paul Bennett practices at 906 E Bellows St # 910, Mt Pleasant, MI 48858. The listed phone number is (231) 535-2822.

What is Paul Bennett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Paul Bennett enrolled in Medicare?

Yes. Paul Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bennett reassigns Medicare benefits to Walloon Lake Recovery Lodge, LLC (Boyne Falls, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Bennett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Paul Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Bennett was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.