LISA COHEN BENNETT (NPI# 1457577785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457577785 |
| Entity Type | Individual |
| Full Name | LISA COHEN BENNETT |
| Credential | PH.D. |
| Practice Address |
919 Village Center Drive Suite #2 Lafayette CA 94549 |
| Practice Telephone | 5105284718 |
| Practice Fax Number | 5105284718 |
| Mailing Telephone | 5105284718 |
| Mailing Fax Number | 5105284718 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY12867 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403312 | Lisa Bennett | Counselor | 692 Blake Ave, Brooklyn, NY 11207-4875 | 2019-11-30 |
| 1568932200 | Lisa M Bennett | Occupational Therapy Assistant | 322 Kraft St, Neenah, WI 54956-4986 | 2018-11-26 |
| 1134514300 | Lisa Marie Bennett | Nurse Practitioner | 1655 Harrington Park Dr, Jacksonville, FL 32225-4938 | 2015-04-03 |
| 1346523909 | Lisa Ann Bennett | Social Worker | 68 Waterman Ave, Albany, NY 12205-3621 | 2011-09-21 |
| 1619010303 | Lisa Bennett | Chiropractor | 7720 W Sahara Ave Ste 104, Las Vegas, NV 89117-2754 | 2007-02-14 |
| 1790706349 | Lisa Bennett | Specialist/Technologist | 1201 39th St, Washougal, WA 98671-9112 | 2006-07-21 |
| 1285678722 | Lisa Marlene Bennett | Optometrist | 11500 Midlothian Tpke, Adjacent To Jc Penney, North Chesterfield, VA 23235-4780 | 2006-06-15 |
| 1760477947 | Lisa G Bennett | Nurse Practitioner | 1602 Harper Rd, Beckley, WV 25801-3310 | 2005-09-14 |
| 1770135501 | Lisa Lynn Bennett | Case Manager/Care Coordinator | 1320 N Morrison Blvd, Hammond, LA 70401-2242 | 2019-07-11 |
| 1710448626 | Lisa Bennett | Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2019-03-26 |
| Street Address |
919 VILLAGE CENTER DRIVE SUITE #2 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973162 | Shaunda Johnson | Psychologist | 150 Industrial Pkwy, Lafayette, LA 70508-8309 | 2019-07-10 |
| 1164443818 | Michael Douglas De Mahy | Psychologist | 401 Audubon Blvd Ste 206b, Lafayette, LA 70503-2600 | 2006-07-21 |
| 1811501315 | Jordan Lynn Martell | Psychologist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-02 |
| 1124520309 | Cedrina Knight Averette | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-03-05 |
| 1437650330 | John Mccreary Tracy | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-02-26 |
| 1013435551 | Kalprina R Williams | Psychologist | 2448 Johnston St, Lafayette, LA 70503-2756 | 2017-09-05 |
| 1801067558 | Gena D Hicks | Psychologist | 1319 W Baseline Rd, Ste 101-b, Lafayette, CO 80026-9307 | 2008-03-20 |
| 1215084132 | Naomi Laborde Friedberg | Psychologist | 2020 W Pinhook Rd, Ste 304, Lafayette, LA 70508-3212 | 2007-01-04 |
| 1104986363 | Theresa Ann Wozencraft | Psychologist | 850 Kaliste Saloom Rd, Suite 105, Lafayette, LA 70508-4230 | 2006-12-11 |
| 1417988676 | Heather Servaty-seib | Psychologist | 675 N 36th St, Lafayette, IN 47905-4475 | 2006-07-06 |
| Find all providers in LAFAYETTE | ||||
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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.