Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215955513 Individual Practitioner Male Practitioner

John Bennett , MA, LP

Psychologist • Cottage Grove, MN

Professional Overview & Biography Verified Profile Summary

John Bennett, MA, LP is a registered healthcare professional specializing in Psychologist in Cottage Grove, MN. Practice services are available at 8451 POINT DOUGLAS ROAD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8451 Point Douglas Road E

Cottage Grove, MN 55016

Telephone 6514584116
Fax 6514585632
Associated Practice Facility / Clinic
🏢 Canvas Health, Inc. Facility NPI 1104993302

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cottage Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Cottage Grove, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN 2790

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID P1
570033 (MN)
Commercial Insurance / Payer ID Bcbs
57129BE (MN)
Commercial Insurance / Payer ID Hp
17574 (MN)
Commercial Insurance / Payer ID Ubh
62-20082 (MN)
Commercial Insurance / Payer ID Uc
106225 (MN)
Commercial Insurance / Payer ID Cp
252287 (MN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Angela Gallagher , MSW, LICSW

Social Worker - Clinical

NPI 1174006431

Master of Social Work, Licensed Independent Clinical Social Worker

Monique Quistorff , LPCC

Counselor - Mental Health

NPI 1508658311

Licensed Professional Clinical Counselor

Gina Breci , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1598203119

Licensed Alcohol and Drug Counselor

Nancy Jordan , MA, LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1689179954

Master of Arts, Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8451 POINT DOUGLAS ROAD E, COTTAGE GROVE, MN 55016 (Tel: 6514584116)

📍
Updated Business Mailing Address July 08, 2007

Registered at 7066 STILLWATER BLVD N, OAKDALE, MN 551283937 (Tel: 6517775222)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BENNETT, M.A., LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2790 in MN)

🟢
Initial NPI Registration & Enumeration July 17, 2006

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: 1215955513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

7066 Stillwater Blvd N

Oakdale, MN 551283937

Phone: 6517775222

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.