MRS. EMILY BENNETT LPC
NPI 1235531286
Counselor - Mental Health in Waconia, MN

Q: What is Emily Bennett's NPI number?

The NPI number for Emily Bennett is 1235531286. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Q: What is Emily Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emily Bennett was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 22, 2014PECOS Enrolled

540 E 1ST ST, WACONIA, MN 55387(952) 442-4437(952) 442-3084 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2019, Mar 17, 2018, Nov 14, 2017 (3 updates tracked since 2017).

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About Mrs. Emily Bennett Lpc NPPES

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

MRS. EMILY BENNETT LPC (NPI 1235531286) is an individual mental health provider in Waconia, Minnesota, licensed in Illinois (178009225) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235531286

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. EMILY BENNETTCredential: LPC

Location Address540 E 1ST STWaconia, MN 55387-1600

Mailing Address1550 E 78th StRichfield, MN 55423-4638

Phone(952) 442-4437

Fax(952) 442-3084

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 22, 2014

Last NPPES UpdateJuly 16, 20193 updates tracked since enumeration

✔ NPI 1235531286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in IL · 178009225✔ Licensed in MN · 1406

540 E 1ST ST, Waconia, MN 55387

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Secondary Practice Locations 2

Location 125 E Schaumburg Rd, Suite 106Schaumburg, IL 60194-3550 · Phone (847) 981-3514 · Fax (847) 230-3787

Location 21550 E 78th StRichfield, MN 55423-4638 · Phone (612) 676-1604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Emily Bennett Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254827629

PECOS Enrollment IDI20260106001854

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.

Other Providers at the Same Location NPPES 20

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

TRACY M DAVIS LMFT

Marriage & Family Therapist