MADISON BENNETT
NPI 1417719089
Counselor - Mental Health in Utica, NY

Active since January 29, 2024PECOS Enrolled

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Bennett NPPES

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

MADISON BENNETT (NPI 1417719089) is an individual mental health provider in Utica, New York and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417719089
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON BENNETT
Location Address628 MARY STUtica, NY 13501-2419
Mailing Address7 Hillcrest DrRome, NY 13440-8821 · (607) 282-6310
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1417719089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
628 MARY ST, Utica, NY 13501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8628547189
PECOS Enrollment IDI20260514002142
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 Madison Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
628 MARY ST
Utica, NY 13501
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group

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

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.

Social Worker (Clinical)
628 MARY ST
UTICA, NY 13501
Social Worker
628 MARY ST
UTICA, NY 13501
Clinic/Center (Mental Health (Including Community Mental Health Center))
628 MARY ST
UTICA, NY 13501
Counselor (Mental Health)
628 MARY ST
UTICA, NY 13501
Counselor (Mental Health)
628 MARY ST
UTICA, NY 13501
Psychiatry & Neurology (Psychiatry)
628 MARY ST
UTICA, NY 13501
Social Worker
628 MARY ST
UTICA, NY 13501
Social Worker (Clinical)
628 MARY ST
UTICA, NY 13501

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 Madison Bennett's NPI number?

The NPI number for Madison Bennett is 1417719089. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Where is Madison Bennett located?

Madison Bennett practices at 628 Mary St, Utica, NY 13501. The listed phone number is (315) 272-2700.

What is Madison Bennett's specialty?

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

Is Madison Bennett enrolled in Medicare?

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

Which organization bills Medicare for Madison Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Bennett reassigns Medicare benefits to The Neighborhood Center, Inc. (Utica, NY). 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 Madison Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madison Bennett was last updated on January 29, 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.