CHARLEMAGNE BENJAMIN (NPI# 1114383064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114383064 |
| Entity Type | Individual |
| Full Name | CHARLEMAGNE BENJAMIN |
| Credential | CASAC-T |
| Practice Address |
270 Lawrence Ave Lawrence NY 11559-1224 |
| Practice Telephone | 5162396244 |
| Practice Fax Number | 5163712147 |
| Mailing Telephone | 5162396244 |
| Mailing Fax Number | 5163712147 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CASAC 28909 | NY | Behavioral Health & Social Service Providers |
| Street Address |
270 LAWRENCE AVE |
| City | LAWRENCE |
| State | NY |
| Zip Code | 11559-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437249711 | John Edward Mulloon Jr. | Social Worker | 270 Lawrence Ave, Lawrence, NY 11559-1224 | 2006-10-15 |
| 1467783829 | Jose L. Melendez | Counselor | 270 Lawrence Ave, Lawrence, NY 11559-1224 | 2010-01-26 |
| 1063743334 | Eon Carolie Bailey | Counselor | 270 Lawrence Ave, Lawrence, NY 11559-1224 | 2010-01-26 |
| 1952632382 | Danielle Feihel | Social Worker | 270 Lawrence Ave, Lawrence, NY 11559-1224 | 2010-01-25 |
| 1295909778 | Phyllis Cima Tropp | Counselor | 270 Lawrence Ave, Second Floor, Lawrence, NY 11559-1224 | 2008-04-16 |
| 1235256256 | Five Towns Community Center Coda Program | Substance Abuse Rehabilitation Facility | 270 Lawrence Ave, Coda Program, Lawrence, NY 11559-1224 | 2007-03-23 |
| 1578633723 | Rita Kenn | Social Worker | 270 Lawrence Ave, Lawrence, NY 11559-1224 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310362 | Marlee Katz | Specialist | 26 Sealy Dr, Lawrence, NY 11559 | 2019-01-13 |
| 1184000374 | Rebecca Beiss | Speech-Language Pathologist | 40 Stevens Place, Lawrence, NY 11559 | 2015-08-11 |
| 1114268620 | Gegendeep Kaur Chawla | Occupational Therapist | 219 Spring St, Lawrence, NY 11559 | 2013-03-07 |
| 1972872810 | Esther P Adler | Occupational Therapist | 227 Juniper Cir S, Lawrence, NY 11559 | 2011-12-21 |
| 1790068229 | Elisheva Listhaus | Speech-Language Pathologist | 70 Causeway, Lawrence, NY 11559 | 2011-09-21 |
| 1073803367 | Michele Golub Seelenfreund | Occupational Therapist | 15 Sealy Drive, Lawrence, NY 11559 | 2011-04-08 |
| 1306153804 | Benjamin Z. Weiss | Psychologist | 360 Central Avenue-suite 110, Suite 110, Lawrence, NY 11559 | 2010-09-03 |
| 1497900203 | Sharon Miriam Moerman | Speech-Language Pathologist | 240 Juniper Circle East, Lawrence, NY 11559 | 2008-11-20 |
| 1134376569 | Shifra Eisig | Dietitian, Registered | 43 Herrick Drive, Lawrence, NY 11559 | 2008-08-27 |
| 1710102306 | Mark Billet | Dentist | 290 Central Avenue, 208, Lawrence, NY 11559 | 2007-04-17 |
| Find all providers in zip 11559 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176186 | Ellen Virginia Murphy | Counselor | 360 Merrimack St Bldg J3, Lawrence, MA 01843-1740 | 2020-08-25 |
| 1639798820 | Katrina Thomas | Counselor | 4455 Mccoy St Ste 301, Lawrence, IN 46226-2983 | 2020-04-09 |
| 1588189120 | Brian E. Blevins | Counselor | 3205 Clinton Parkway Court, Lawrence, KS 66047-2627 | 2017-08-04 |
| 1174048839 | Michael Mcrill | Counselor | 1701 W 4th St Apt D8, Lawrence, KS 66044-4630 | 2017-08-03 |
| 1639693591 | Jamee Horton | Counselor | 2500 W 31st St Ste G, Lawrence, KS 66047-3051 | 2017-08-01 |
| 1487192084 | Janace Maynard | Counselor | 1329 Stone Creek Dr, Lawrence, KS 66049-4790 | 2017-02-03 |
| 1568912152 | Ferreras Counseling LLC | Counselor | 439 S Union St Unit 2104, Lawrence, MA 01843-2800 | 2016-10-07 |
| 1669824942 | Sally J Mcvey | Counselor | 3300 Clinton Parkway Ct Ste 201, Lawrence, KS 66047-2657 | 2016-07-11 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1164847927 | Kerri Christina Khatib | Counselor | 1625 Saint Andrews Dr, Lawrence, KS 66047-1701 | 2014-03-03 |
| Find all providers in LAWRENCE | ||||
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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.