BENJAMIN KACKLEY (NPI# 1013339225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013339225 |
| Entity Type | Individual |
| Full Name | BENJAMIN KACKLEY |
| Practice Address |
24424 W Mcnichols Rd Detroit MI 48219-3653 |
| Practice Telephone | 3132550900 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401013356 | MI | Behavioral Health & Social Service Providers |
| Street Address |
24424 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326135047 | Development Centers, Inc. | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219 | 2006-10-06 |
| 1083229249 | Catrina Tookes | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1770198970 | Wanda Mitchell | Voluntary or Charitable | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1295351161 | Anna Marie Mier | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-06-17 |
| 1275165797 | Tenna Ramona Harris | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-02-12 |
| 1780232835 | Jamie Lee Ann Douglas | Psychologist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-09-02 |
| 1306491824 | Stacy Lynette Saylor | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-08-02 |
| 1821561960 | Henry Lee Hampton | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-01-10 |
| 1982174710 | Claude Ray Winton II | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-12-05 |
| 1164904009 | Sarah Mcintire | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| 1386255032 | Restore Me, LLC | Counselor | 17836 Chandler Park Dr, Detroit, MI 48224-1340 | 2020-08-14 |
| 1396374617 | Venus D Amos | Counselor | 22725 Cambridge Ave, Detroit, MI 48219-1725 | 2020-04-07 |
| 1487280848 | A Safe Place Counseling and Community Support Services L3c | Counselor | 20216 Albany St, Detroit, MI 48234-2505 | 2020-03-18 |
| 1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
| 1790320331 | Faith Hope & Love Outreach Center Inc | Counselor | 18284 James Couzens Fwy., Detroit, MI 48235-2503 | 2019-11-07 |
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1497210744 | Phoenix Interventions Pllc | Counselor | 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 | 2019-01-31 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.