SAMUEL RICHARD BENNETT
NPI 1114536018
Counselor - Mental Health in Chicago, IL

Active since July 27, 2020
5214 N WESTERN AVE, CHICAGO, IL 60625(773) 250-1769 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Richard Bennett NPPES

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

SAMUEL RICHARD BENNETT (NPI 1114536018) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1114536018
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL RICHARD BENNETT
Location Address5214 N WESTERN AVEChicago, IL 60625-2589
Mailing Address1465 Lake DrMorris, IL 60450-2405 · (815) 207-3975
Sole ProprietorYes
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
NPI 1114536018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5214 N WESTERN AVE, Chicago, IL 60625

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5214 N WESTERN AVE
CHICAGO, IL 60625
Chiropractor
5214 N WESTERN AVE, STE 102
CHICAGO, IL 60625
Counselor
5214 N WESTERN AVE, SUITE 151
CHICAGO, IL 60625
Dentist
5214 N WESTERN AVE
CHICAGO, IL 60625
Dentist (General Practice)
5214 N WESTERN AVE, STE. 205
CHICAGO, IL 60625
Dentist (General Practice)
5214 N WESTERN AVE, SUITE 303
CHICAGO, IL 60625
Dentist (General Practice)
5214 N WESTERN AVE, SUITE 303
CHICAGO, IL 60625
Dentist (General Practice)
5214 N WESTERN AVE, SUITE 303
CHICAGO, IL 60625

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 Samuel Bennett's NPI number?

The NPI number for Samuel Bennett is 1114536018. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Samuel Bennett located?

Samuel Bennett practices at 5214 N Western Ave, Chicago, IL 60625. The listed phone number is (773) 250-1769.

What is Samuel Bennett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Bennett was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.