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

Jaclyn Bencivenga

Individual provider Mental Health Counselor · NPI 1528507126

Jaclyn Bencivenga is a Mental Health Counselor in Venice, Florida. Qualified in 2015, 11 years ago. Practices with Thriveworks Clinical - Florida Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2017
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Practice location Address checks out

417 Commercial Ct Ste C
Venice, FL 34292-1655
Phone: (941) 485-0121
Fax: (941) 485-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH18774 (FL)

Record details

NPI number1528507126
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2017
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021
Mailing address5 Revere Dr, Northbrook, IL 60062-1566

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Thriveworks Clinical - Florida Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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