MS. ELLEN BENNETT (NPI# 1366530859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366530859 |
| Entity Type | Individual |
| Full Name | MS. ELLEN BENNETT |
| Credential | LMFT, MC |
| Practice Address |
404 Rex Allen Drive Willcox AZ 85643 |
| Mailing Address |
489 N Arroyo Blvd Nogales AZ 85621-2644 |
| Practice Telephone | 5203842521 |
| Practice Fax Number | 5203840543 |
| Mailing Telephone | 5202874713 |
| Mailing Fax Number | 5202879794 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT10198 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 879207 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922131630 | Ellen Bennett | Physician Assistant | 21 Hampton Rd Bldg 3 Fl 1, Exeter, NH 03833 | 2007-03-13 |
| 1114075512 | Ellen Bennett | Speech-Language Pathologist | 109 S Festival Dr, El Paso, El Paso, TX 79912-5801 | 2007-01-08 |
| 1568813566 | Ellen Bennett | Pharmacist | 222 S Riverside Plz, 830, Chicago, IL 60606-5808 | 2016-06-30 |
| 1649544990 | Ellen D Bennett | Counselor | 444 S 44th St, Omaha, NE 68131-3727 | 2012-03-05 |
| Street Address |
404 REX ALLEN DRIVE |
| City | WILLCOX |
| State | AZ |
| Zip Code | 85643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527363 | Martha Prendergast | Obstetrics & Gynecology | 24749 S Brookerson Rd, Willcox, AZ 85643 | 2017-09-28 |
| 1891097333 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 114 S. Arizona Avenue, & 116, Willcox, AZ 85643 | 2010-12-02 |
| 1528392545 | Willcox Pharmacy, LLC | Pharmacy | 902 W Rex Allen Drive, Suite A, Willcox, AZ 85643 | 2009-09-23 |
| 1104977990 | Ronald J Nelson | Psychologist | 480 N. Bisbee Ave, Willcox, AZ 85643 | 2007-01-16 |
| 1144370149 | Bashas Inc | Pharmacy | 900 W Rex Allen Dr, Willcox, AZ 85643 | 2007-01-11 |
| 1780610642 | Southwestern Eye Center Ltd | Durable Medical Equipment & Medical Supplies | 780 Rex Allen Dr., Willcox, AZ 85643 | 2006-06-23 |
| 1366440083 | Charles Wm. Leighton, Jr. Hospice, Inc. | Hospice Care, Community Based | 524 West Maley Place, Willcox, AZ 85643 | 2005-07-07 |
| 1427283175 | Janet Gayle Perry | Registered Nurse | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| 1881829539 | Nicholas Anthony Quaglietta | Pharmacist | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2009-05-26 |
| 1871784181 | Dolores Addison | Dietitian, Registered | Hwy 86 and Topawa Rd, Sells, AZ 85643 | 2007-08-05 |
| Find all providers in zip 85643 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313850 | Lavarez Dell Harris | Marriage & Family Therapist | 26641 W Matthew Dr, Buckeye, AZ 85396-8011 | 2020-10-14 |
| 1114538196 | Lauren Marchal | Marriage & Family Therapist | 11222 N Sundown Dr, Scottsdale, AZ 85260-6439 | 2020-08-12 |
| 1184241234 | Josephina Camacho Garcia | Marriage & Family Therapist | 281 W 24th St # 139, Yuma, AZ 85364-8500 | 2020-07-05 |
| 1851917413 | Kenneth William Fausett Sr. | Marriage & Family Therapist | 276 Lake Havasu Ave S Apt C32, Lake Havasu City, AZ 86403-6521 | 2020-06-19 |
| 1750902896 | Rachel White | Marriage & Family Therapist | 18301 N 79th Ave Ste B125, Glendale, AZ 85308-8463 | 2020-04-29 |
| 1275169286 | Sophia L Sims | Marriage & Family Therapist | 4210 N Saranac Dr, Tucson, AZ 85718-6731 | 2020-03-21 |
| 1689206633 | Nancy Renee Frigaard | Marriage & Family Therapist | 7218 W Dreyfus Dr, Peoria, AZ 85381-6011 | 2020-02-07 |
| 1861022642 | Michele Lalicata | Marriage & Family Therapist | 2899 E Fandango Dr, Gilbert, AZ 85298-8769 | 2020-01-22 |
| 1225677362 | Marissa Balsino | Marriage & Family Therapist | 7705 W Tonto Dr, Glendale, AZ 85308-6073 | 2020-01-06 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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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.