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ERIC BEMBENEK
NPI 1396601555
Counselor - Professional in Fort Worth, TX

Active since January 01, 2026PECOS Enrolled
1412 W MAGNOLIA AVE STE 210, FORT WORTH, TX 76104(210) 399-3252(617) 807-0958 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric Bembenek NPPES

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

ERIC BEMBENEK (NPI 1396601555) is an individual professional provider in Fort Worth, Texas, licensed in Texas (74424) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396601555
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameERIC BEMBENEK
Location Address1412 W MAGNOLIA AVE STE 210Fort Worth, TX 76104-4364
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483 · Fax (617) 807-0958
Phone(210) 399-3252
Fax(617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 1, 2026
NPPES CertifiedJanuary 1, 2026
✔ NPI 1396601555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 74424
1412 W MAGNOLIA AVE STE 210, Fort Worth, TX 76104
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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)

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

PECOS PAC ID4880160373
PECOS Enrollment IDI20260421004279
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 3

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

BRITTENY PETTY
Counselor (Mental Health)
1412 W MAGNOLIA AVE STE 210
FORT WORTH, TX 76104
Tarrant County (940) 799-1546
HANNAH GARNER
Counselor (Professional)
1412 W MAGNOLIA AVE STE 210
FORT WORTH, TX 76104
Tarrant County (855) 284-7483
MS. AMBER DAWN BLOOM LPC-S
Counselor (Professional)
1412 W MAGNOLIA AVE STE 210
FORT WORTH, TX 76104
Tarrant County (855) 914-5753

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 Eric Bembenek's NPI number?

The NPI number for Eric Bembenek is 1396601555. It was assigned to this individual provider in the NPPES registry on January 1, 2026.

Where is Eric Bembenek located?

Eric Bembenek practices at 1412 W Magnolia Ave Ste 210, Fort Worth, TX 76104. The listed phone number is (210) 399-3252.

What is Eric Bembenek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eric Bembenek enrolled in Medicare?

Yes. Eric Bembenek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eric Bembenek was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.