Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivy Bencivengo, LPC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396304374

Ivy Bencivengo, LPC is a Mental Health Counselor in Cleveland, Ohio. Qualified in 2020, 6 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

10427 Detroit Ave
Cleveland, OH 44102-1645
Phone: (216) 487-2168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8411 Broadway Ave, Cleveland, OH 44105-3932 — (216) 441-0200

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C.2002641 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1396304374
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 12, 2019
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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