Active NPI 1114442316 Individual Practitioner Male Practitioner

Dr. Bennett Edgerly , PhD, LPC

Counselor - Professional • Greeley, CO

Professional Overview & Biography Verified Profile Summary

Dr. Bennett Edgerly, PhD, LPC is a registered healthcare professional specializing in Counselor - Professional in Greeley, CO. Practice services are available at 1300 N 17TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 N 17th Ave

Greeley, CO 806319584

Telephone 9703472120

Associated Practice Facility / Clinic

🏢 North Range Behavioral Health Facility NPI 1669431524

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Greeley, CO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.3 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

179 Specialists

Practicing in Greeley, CO (7054 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-25

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO LPC.0016208

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Arizona License

LPC-15634 (AZ)

Commercial Insurance / Payer ID State Licensing Board Of Colorado

LPC.0016208 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jennifer Wallace , LCSW

Social Worker - Clinical

NPI 1003064213

Licensed Clinical Social Worker

Scott Clawson , CAC III

Counselor - Addiction (Substance Use Disorder)

NPI 1003151408

CACIII

Lindi Hemeon , BA

Behavior Analyst

NPI 1003236043

Bachelor of Arts

Jakob Bednarchuk

Counselor - Mental Health

NPI 1003300526

Malinda Alaniz

Counselor - Mental Health

NPI 1003380064

David Faver , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1003386012

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 25, 2023

Registered at 1300 N 17TH AVE, GREELEY, CO 806319584 (Tel: 9703472120)

📍

Updated Business Mailing Address July 25, 2023

Registered at 1300 N 17TH AVE, GREELEY, CO 806319584 (Tel: 9703472120)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2023

Counselor (License #LPC.0016208 in CO)

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2017

Registered at 2920 N 4TH ST, FLAGSTAFF, AZ 860041816 (Tel: 9285229400)

📍

Updated Business Mailing Address August 08, 2017

Registered at 2920 N 4TH ST, FLAGSTAFF, AZ 860041816 (Tel: 9285229400)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as BENNETT EDGERLY, PH.D., LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Counselor (License #LPC-15364 in AZ)

🟢

Initial NPI Registration & Enumeration August 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114442316

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 08, 2017

Last Update: July 25, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1300 N 17th Ave

Greeley, CO 806319584

Phone: 9703472120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.