Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558810986 Individual Practitioner Male Practitioner

Ethan Dossett Bennett , MAED, LPCC, NCC

Counselor • Owensboro, KY

Professional Overview & Biography Verified Profile Summary

Ethan Bennett, MAED, LPCC, NCC is a registered healthcare professional specializing in Counselor in Owensboro, KY. Practice services are available at 1401 SPRING BANK DR STE 13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1401 Spring Bank Dr Ste 13

Owensboro, KY 423037553

Telephone 2702979192
Fax 2702977271
Associated Practice Facility / Clinic
🏢 Abba Healing Services, Llc Facility NPI 1740993401

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Owensboro, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
49 Specialists

Practicing in Owensboro, KY (1732 Statewide)

Telehealth Adoption Rate
2.0% 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: 2022-12-26
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License KY 245238

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7100570210 (KY)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location December 26, 2022

Registered at 1401 SPRING BANK DR STE 13, OWENSBORO, KY 423037553 (Tel: 2702979192)

📍
Updated Business Mailing Address December 26, 2022

Registered at 1401 SPRING BANK DR STE 13, OWENSBORO, KY 423037553 (Tel: 2702979192)

📍
Updated Practice Location December 05, 2018

Registered at 1925 FREDERICA ST STE 200, OWENSBORO, KY 423014818 (Tel: 2709262484)

👤
Provider Name / Credentials Updated December 05, 2018

Recorded as ETHAN BENNETT, M.A.ED., LPCC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2018

Counselor (License #245238 in KY)

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2017

Registered at 2720 FREDERICA ST, OWENSBORO, KY 423015442 (Tel: 2709262484)

📍
Updated Business Mailing Address August 31, 2017

Registered at PO BOX 1429, MT WASHINGTON, KY 400471429 (Tel: (502) 538-1000)

👤
Provider Name / Credentials Updated August 31, 2017

Recorded as ETHAN BENNETT, M.A.ED., LPCA, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Counselor (License #169196 in KY)

NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2016

Registered at 5000 BACK SQUARE DR, SUITE C, OWENSBORO, KY 423017411 (Tel: 2706855500)

📍
Updated Business Mailing Address September 27, 2016

Registered at 5000 BACK SQUARE DR, SUITE C, OWENSBORO, KY 423017411

👤
Provider Name / Credentials Updated September 27, 2016

Recorded as ETHAN BENNETT, M.A.ED., LPCA, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Counselor (License #169196 in KY)

🟢
Initial NPI Registration & Enumeration September 27, 2016

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: 1558810986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2016
Last Update: December 26, 2022
Sole Proprietor: No

Mailing Address

1401 Spring Bank Dr Ste 13

Owensboro, KY 423037553

Phone: 2702979192

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.