Active NPI 1821724543 Individual Practitioner Male Practitioner

Basil Bennett

Peer Specialist • Logan, WV

Professional Overview & Biography Verified Profile Summary

Basil Bennett is a registered healthcare professional specializing in Peer Specialist in Logan, WV. Practice services are available at 174 LMAH CENTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

174 Lmah Center Rd

Logan, WV 256014058

Telephone 3047927130

Fax 3048965184

Associated Practice Facility / Clinic

🏢 Logan-Mingo Area Mental Health, Inc. Facility NPI 1326192436

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Logan, WV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

22 Specialists

Practicing in Logan, WV (921 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: 2022-07-26

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WV 0072

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Antonio Diaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1053339135

Doctor of Medicine (M.D.)

Ashton Williams

Case Manager/Care Coordinator

NPI 1083206205

Larry Fields , LICSW

Social Worker - Clinical

NPI 1104418847

Licensed Independent Clinical Social Worker

Takara Muncy

Nurse Practitioner - Family

NPI 1114671906

Ravenlou Wamsley

Peer Specialist

NPI 1134845373

Sharla Smith , PRSS

Peer Specialist

NPI 1154047066

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 26, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location July 26, 2022

Registered at 174 LMAH CENTER RD, LOGAN, WV 256014058 (Tel: 3047927130)

📍

Updated Business Mailing Address July 26, 2022

Registered at PO BOX 176, LOGAN, WV 256010176 (Tel: 3047927130)

👤

Provider Name / Credentials Updated July 26, 2022

Recorded as BASIL BENNETT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2022

Peer Specialist (License #0072 in WV)

🟢

Initial NPI Registration & Enumeration July 26, 2022

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: 1821724543

Entity Type:

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

Enumeration Date: July 26, 2022

Last Update: July 26, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 176

Logan, WV 256010176

Phone: 3047927130

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.