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ELLEN BENNETT
NPI 1306629258
Counselor - Mental Health in Springdale, AR

Active since August 15, 2023PECOS Enrolled
3623 JOHNSON MILL BLVD STE 103, SPRINGDALE, AR 72762(479) 435-4207(479) 935-3180 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Bennett NPPES

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

ELLEN BENNETT (NPI 1306629258) is an individual mental health provider in Springdale, Arkansas and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306629258
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN BENNETT
Location Address3623 JOHNSON MILL BLVD STE 103Springdale, AR 72762-6412
Mailing AddressPo Box 9541Fayetteville, AR 72703-0026 · (479) 435-4207
Phone(479) 435-4207
Fax(479) 935-3180
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1306629258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3623 JOHNSON MILL BLVD STE 103, Springdale, AR 72762
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8123596673
PECOS Enrollment IDI20260504006499
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 12

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

BRIDGET WILLIAMS
Social Worker (Clinical)
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
AMBER LITTLE
Social Worker
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
LURAH HESINGTON LMSW
Social Worker
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
VANESSA CORVERA
Social Worker (Clinical)
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
AUBREE RANKIN
Counselor (Mental Health)
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
AMANDA SELIGER
Social Worker
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
ANNA CAMILLE STODDARD
Social Worker (Clinical)
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207
JESSICA FATEL
Counselor (Mental Health)
3623 JOHNSON MILL BLVD STE 103
SPRINGDALE, AR 72762
Washington County (479) 435-4207

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 Ellen Bennett's NPI number?

The NPI number for Ellen Bennett is 1306629258. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Ellen Bennett located?

Ellen Bennett practices at 3623 Johnson Mill Blvd Ste 103, Springdale, AR 72762. The listed phone number is (479) 435-4207.

What is Ellen Bennett's specialty?

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

Is Ellen Bennett enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ellen Bennett was last updated on August 15, 2023. 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.