Kelly Randolph Bennett, PHD
NPI 1134302722ActiveIndividual· Psychologist, Counseling· Santa Fe, NM
Psychologist, Counseling (PHD) in Santa Fe, New Mexico, licensed in NM and CA, with an NPI issued in December 2007.
Overview
| NPI | 1134302722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Dec 6, 2007 |
| Last updated in NPPES | Apr 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | LPCC 0088061 | NM |
| Psychologist, Counseling | 103TC1900X | MFC 2017 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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