JOSEPH BENNER (NPI# 1104358738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104358738 |
| Entity Type | Individual |
| Full Name | JOSEPH BENNER |
| Credential | MS, LADC |
| Practice Address |
107 Church Hill Rd Ste 1 Sandy Hook CT 06482 |
| Mailing Address |
27 W Woodland Dr Redding CT 06896-3411 |
| Practice Telephone | 2033133681 |
| Mailing Telephone | 2033133681 |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2018-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3519 | CT | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1234 | CT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3519 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27 W Woodland Dr, Redding, CT 068963411 | 2033133681 |
| Street Address |
107 CHURCH HILL RD STE 1 |
| City | SANDY HOOK |
| State | CT |
| Zip Code | 06482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093060865 | Victoria Scataglini | Counselor | 107 Church Hill Rd Ste 1, Sandy Hook, CT 06482-1194 | 2012-07-18 |
| 1306350228 | Jgb Professional Counseling, LLC | Counselor | 107 Church Hill Rd Ste 1, Sandy Hook, CT 06482 | 2017-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104483809 | Be Driven LLC | Non-emergency Medical Transport (VAN) | 30 Bradley Lane, Sandy Hook, CT 06482 | 2019-05-29 |
| 1639203821 | Laura Vicky Crouse | Naturopath | 24 Glen Road, Sandy Hook, CT 06482 | 2007-03-16 |
| 1023145745 | John Philip Woodall | Psychiatry & Neurology | 13 Berkshire Rd, Sandy Hook, CT 06482 | 2007-02-28 |
| 1073692950 | Jennifer L Thompson | Social Worker | 15 Berkshire Road, Suite B, Sandy Hook, CT 06482 | 2006-11-03 |
| 1205910833 | Susan Morse | Social Worker | 1 Washington Ave, Ste 4, Sandy Hook, CT 06482 | 2006-10-24 |
| 1114015211 | Newtown Youth and Family Services, Inc. | Clinic/Center | 15 Berkshire Rd., Newtown Youth and Family Services, Sandy Hook, CT 06482 | 2006-10-11 |
| 1073570842 | Kenneth A Litwin | Internal Medicine | 27 Glen Rd, 4th Floor, Sandy Hook, CT 06482 | 2006-04-27 |
| 1225019482 | Sabrina Lyn Byrne | Specialist/Technologist | 12 Bershire Rd, Sandy Hook, CT 06482 | 2005-11-07 |
| 1285179374 | Meredith Dellorco | Social Worker | 15 Berkshire Rd, Sandy Hook, CT 06482 | 2016-12-27 |
| 1326209552 | Elia B Clapis | Social Worker | 1 Washington Ave, Suite 4, Sandy Hook, CT 06482 | 2008-06-20 |
| Find all providers in zip 06482 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710355953 | Geneva Mabry | Counselor | 587 Salyers Branch Rd, Sandy Hook, KY 41171-7398 | 2015-09-04 |
| 1346456720 | Walter James Harlow | Counselor | 111 Church Hill Rd Ste 301, Sandy Hook, CT 06482-1172 | 2007-05-15 |
| 1144842774 | Christopher Fraley | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2020-05-18 |
| 1427611193 | Patricia G Short | Counselor | 505 Prison Connector, Sandy Hook, KY 41171-7010 | 2019-04-18 |
| 1073086906 | Gena Renee Maggard | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2019-01-03 |
| 1043719362 | Emily Kiser | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2018-02-02 |
| 1932623808 | Betty Stephens | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2017-08-01 |
| 1699222356 | Jeremy Cornett | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2016-09-09 |
| 1134588114 | Lori Case | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2016-02-18 |
| 1922481480 | Candice Warren-friend | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2015-07-02 |
| Find all providers in SANDY HOOK | ||||
| City | SANDY HOOK |
| Zip Code | 06482 |
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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.