KELLY MARIE BENNETT


Address: 1500 North Ritter Avenue, Indianapolis, IN 46219-3027
Phone: 3173552560

KELLY MARIE BENNETT (NPI# 1144356437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144356437
Entity Type Individual
Full Name KELLY MARIE BENNETT
Credential LMHC
Practice Address 1500 North Ritter Avenue
Indianapolis
IN 46219-3027
Mailing Address 6636 Crossbridge Dr
Noblesville
IN 46062-7361
Practice Telephone 3173552560
Practice Fax Number 3173512418
Mailing Telephone 3177733963
Enumeration Date 2007-02-23
Last Update Date 2012-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
39002205A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 100270530 05

Other Providers KELLY BENNETT

NPI Name Taxonomy Address Enumeration
1578033387 Kelly S Bennett Counselor 11100 Highway 1078, Folsom, LA 70437-3501 2018-12-05
1134302722 Kelly Randolph Bennett Psychologist 578 Via Arista, Santa Fe, NM 87506-4507 2007-12-06
1831101641 Kelly Angela Bennett Specialist 1161 21st Avenue South R 1217 Medical Center North, Vanderbilt University, Nashville, TN 37232 2006-08-12
1982634762 Kelly A Bennett Physician Assistant 1028 Lee Ann Dr Ne Ste 200, Concord, NC 28025-2915 2006-07-04
1891184875 Kelly Bennett Nurse Practitioner 4921 Long Prairie Rd, Suite 100, Flower Mound, TX 75028-2716 2015-01-14
1013329481 Kelly Bennett Counselor 2711 W 15th St, Panama City, FL 32401-1366 2014-05-20
1083999247 Kelly Bennett Pharmacist 1191 Dixwell Ave, Hamden, CT 06514-4733 2011-10-19
1306136460 Kelly M Bennett Pediatrics 6010 S Mason Montgomery Rd, Mason, OH 45040-3706 2011-04-11
1063404127 Kelly A. Bennett Family Medicine 3601 4th St, Lubbock, TX 79430-0002 2005-08-16

Office Location

Street Address 1500 NORTH RITTER AVENUE
City INDIANAPOLIS
State IN
Zip Code 46219-3027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598871246 Diane E Stiles Social Worker 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2006-08-22
1700165032 Tim Horsman Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2011-08-04
1861783169 Carla Mathison Social Worker 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2011-04-21
1528360112 Melanie Straessle Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2010-12-02
1659609329 Chandra A Betts Social Worker 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-11-18
1568798759 Cicely D Wattley Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-10-23
1639402084 Amy J Van Sice Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-09-16
1063745438 Catherine Heath Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-09-16
1790917060 Joycelyn Y Wilson Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-08-20
1861630758 Annette Cherie Allen Counselor 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 2009-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1073151239 Tanicka Elizabeth Word Behavior Technician 6635 E 21st Street, West Building, Indianapolis, IN 46219 2019-12-18
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1336645985 Lynell Westbrook Gates Counselor 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 2018-04-03
1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
1467811570 Fresenius Medical Care Indiana, LLC Clinic/Center 6701 E 21st St, Indianapolis, IN 46219 2016-02-17
1992197289 Casey Baker Physician Assistant 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 2015-02-24
1811398407 Adam Romesser Pharmacist 8907 E. 10th St., Indianapolis, IN 46219 2014-09-15
1225448673 Justin Stauffer Pharmacist 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 2014-05-06
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1376150656 Shelia Hall Counselor 7422 Carnation Ln, Indianapolis, IN 46214-1066 2020-09-30
1205443090 Laura Oliver Counselor 2274 Valley Creek Way, Indianapolis, IN 46229-1932 2020-09-26
1932714185 Thrive Counseling Services, LLC Counselor 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 2020-09-14
1033735055 Luv Taylor Counselor 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 2020-06-25
1366067159 Amdaway Ibrahim Counselor 4013 Baker Dr, Indianapolis, IN 46235-1573 2020-06-08
1326661836 Bridge Clinics Counselor 3702 E 10th St, Indianapolis, IN 46201-2554 2020-05-19
1457973380 Anita J Adams Counselor 5218 Cornelius Ave, Indianapolis, IN 46208-2512 2020-05-14
1821610213 Tiffany Lynette Thompson Counselor 4308 Ansar Ln, Indianapolis, IN 46254-3128 2020-05-08
1114549615 Courtney Terrell Counselor 1118 N Audubon Rd, Indianapolis, IN 46219-3116 2020-05-07
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Competitor

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City INDIANAPOLIS
Zip Code 46219

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Dataset Information

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.

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