Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417719154 Individual Practitioner Female Practitioner

Kendra Caroline Bennett , LPC - SUPERVISOR

Counselor • Longview, TX

Professional Overview & Biography Verified Profile Summary

Kendra Bennett, LPC - SUPERVISOR is a registered healthcare professional specializing in Counselor in Longview, TX. Practice services are available at 107 COMMUNITY BLVD STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

107 Community Blvd Ste 2

Longview, TX 756056186

Telephone 9035907723
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Longview, TX (3454 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

CMS Verified: 2024-01-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License TX 72450

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Amanda Lester , LCSW

Social Worker - Clinical

NPI 1659087179

Licensed Clinical Social Worker

Marsha Jackson , LMFT

Marriage & Family Therapist

NPI 1861690190

Licensed Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 29, 2024

NPI status registered as active in NPPES database

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Updated Practice Location January 29, 2024

Registered at 107 COMMUNITY BLVD STE 2, LONGVIEW, TX 756056186 (Tel: 9035907723)

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Updated Business Mailing Address January 29, 2024

Registered at 3635 COUNTY ROAD 334, TYLER, TX 757082726 (Tel: 9035907723)

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Provider Name / Credentials Updated January 29, 2024

Recorded as KENDRA BENNETT, LPC - SUPERVISOR

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2024

Counselor (License #72450 in TX)

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Initial NPI Registration & Enumeration January 29, 2024

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: 1417719154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2024
Last Update: January 29, 2024
Sole Proprietor: Yes

Mailing Address

3635 County Road 334

Tyler, TX 757082726

Phone: 9035907723

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.