KAREN BENNETT (NPI# 1336689868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336689868 |
| Entity Type | Individual |
| Full Name | KAREN BENNETT |
| Practice Address |
1685 Baldwin Ave Ste 100 Pontiac MI 48340-1115 |
| Practice Telephone | 2487063450 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401009254 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245395359 | Karen L. Bennett | Physical Therapist | 3760 Lavista Rd, Suite 102, Tucker, GA 30084-5615 | 2006-12-27 |
| 1295823961 | Karen Marie Bennett | Dentist | 6502 Ne 181st St, Kenmore, WA 98028-4802 | 2006-10-10 |
| 1548351984 | Karen Sue Bennett | Registered Nurse | Vamc 11 Irving St, Washington, DC 20422-0001 | 2006-09-28 |
| 1003328790 | Karen Bennett | Counselor | 1201 Talmage Rd, Ukiah, CA 95482-6021 | 2017-11-02 |
| 1164650420 | Karen Webb Bennett | Nurse Practitioner | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2009-06-25 |
| 1699902544 | Karen Lynne Bennett | Occupational Therapist | 16 Madison Ave, Oxford, ME 04270-3579 | 2009-06-18 |
| 1811179278 | Karen Y Bennett | Speech-Language Pathologist | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-11-28 |
| 1629155874 | Karen M Bennett | Physical Therapist | 7000 Tudsbury Rd, Baltimore, MD 21244-2675 | 2006-11-01 |
| 1225012933 | Karen V Bennett | Dietitian, Registered | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-12-06 |
| Street Address |
1685 BALDWIN AVE STE 100 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48340-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013126 | Erick Post | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-11-05 |
| 1083228670 | Lauren Margaret Smith | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-09-01 |
| 1376156919 | Larry G West II | Peer Specialist | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-08-24 |
| 1669096749 | Jordan Ramsey | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2020-06-03 |
| 1417595018 | Deshawnda Smith | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-12-13 |
| 1508400300 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-11-05 |
| 1790334670 | Sarah Westerman | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-09-04 |
| 1174179345 | Amber Janay Ivory | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-08-14 |
| 1265088470 | Jenetta Johnson | Social Worker | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1242 | 2019-08-13 |
| 1366002537 | Angela S Jurgensen | Social Worker | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1669907689 | Jeffrey D Bryant | Social Worker | 1841 N. Perry St, Pontiac, MI 48340 | 2017-04-27 |
| 1750822748 | Star Dental P.C. | Dentist | 775 Baldwin Rd, Suite C, Pontiac, MI 48340 | 2017-03-10 |
| 1609237965 | Stephanie Stephan | Dentist | 1590 Baldwin Ave, Auburn Hills, MI 48340 | 2016-03-15 |
| 1376908921 | Jump Start LLC Maternal Infant Health Program | Exclusive Provider Organization | 1086 Williamson Cir, Pontiac, MI 48340 | 2015-12-28 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1104223544 | Tammy Fletcher | Registered Nurse | 1841 N Perry, Pontiac, MI 48340 | 2014-12-01 |
| 1558629238 | Oakland Integrated Healthcare Network | Clinic/Center | 816 Joslyn, Pontiac, MI 48340 | 2012-05-01 |
| 1447583398 | Dial A Doc Physicians PC | Pain Medicine | 28 N Saginaw, Chase Building, Pontiac, MI 48340 | 2009-09-10 |
| 1619199171 | Jann E. Trzeciak | Family Medicine | 1915 N Perrt Street, Pontiac, MI 48340 | 2007-05-03 |
| Find all providers in zip 48340 | ||||
| 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 |
|---|---|---|---|---|
| 1518574938 | Sydni Lee Neal | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1558978965 | Kimberly Ezzo | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2020-09-29 |
| 1972150456 | Allison Hart | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-08-20 |
| 1144783762 | Alyssa Ross | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1174086797 | Jaycee Leonard | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2019-04-10 |
| 1164920013 | Rosa Quellhorst | Counselor | 310 E Torrance Ave, Pontiac, IL 61764-2748 | 2018-01-25 |
| 1275935280 | Kristen Phillips | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2014-09-22 |
| 1205262920 | Angela Villet | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-09-26 |
| 1952744187 | Jessica Stone | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2013-04-08 |
| 1679844237 | Brenton Place | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2012-01-13 |
| Find all providers in PONTIAC | ||||
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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.