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KERRY BENNETT LCPC
NPI 1619620424
Counselor - Professional in Kennebunkport, ME

Active since February 01, 2022Opted out of Medicare · through Aug 1, 2028
20 FAIRFIELD HILL RD, KENNEBUNKPORT, ME 04046(206) 930-6435 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kerry Bennett Lcpc NPPES

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

KERRY BENNETT LCPC (NPI 1619620424) is an individual professional provider in Kennebunkport, Maine, licensed in Maine (CC5191) and active in the NPI registry since February 2022. She has opted out of Medicare through August 1, 2028.

NPPES Registry Identity

NPI1619620424
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKERRY BENNETTCredential: LCPC
Location Address20 FAIRFIELD HILL RDKennebunkport, ME 04046-5222
Mailing Address20 Fairfield Hill RdKennebunkport, ME 04046-5222 · (206) 930-6435
Phone(206) 930-6435
Sole ProprietorNo
Enumeration DateFebruary 1, 2022
NPPES CertifiedJuly 28, 2021
✔ NPI 1619620424 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 ME · CC5191
20 FAIRFIELD HILL RD, Kennebunkport, ME 04046
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kerry Bennett Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2024 through August 1, 2028.

Opt-Out Effective DateAugust 1, 2024
Opt-Out In Effect ThroughAugust 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

RUBEDO TRANSITIONS LLC
Community Based Residential Treatment Facility, Mental Illness
20 FAIRFIELD HILL RD
KENNEBUNKPORT, ME 04046
York County (800) 560-9941
DR. ERIC TYLER BEAUDOIN PSYD
Psychologist (Clinical)
20 FAIRFIELD HILL RD
KENNEBUNKPORT, ME 04046
York County (207) 441-8533

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 Kerry Bennett's NPI number?

The NPI number for Kerry Bennett is 1619620424. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Kerry Bennett located?

Kerry Bennett practices at 20 Fairfield Hill Rd, Kennebunkport, ME 04046. The listed phone number is (206) 930-6435.

What is Kerry Bennett's specialty?

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

Is Kerry Bennett enrolled in Medicare?

No. Kerry Bennett has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kerry Bennett was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.