FAYLENE BENITO (NPI# 1588282537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588282537 |
| Entity Type | Individual |
| Full Name | FAYLENE BENITO |
| Practice Address |
3050 Fifth Ave Ketchikan AK 99901-5773 |
| Mailing Address |
360 W Benson Blvd Ste 300 Anchorage AK 99503-3953 |
| Practice Telephone | 9072254135 |
| Mailing Telephone | 9075651200 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3050 FIFTH AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1407474455 | Jessica Peavy | Case Manager/Care Coordinator | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1962020909 | Kenneth Hook | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1235757287 | Estelle Cowie | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1144848193 | Lance Ho | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1831739390 | Jaime Browning | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-01-13 |
| 1669010922 | Akeela Inc | Community/Behavioral Health | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-12-18 |
| 1689218992 | Bobbi Jo Keuken | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-10-30 |
| 1306480611 | Laura Davidson | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-10-30 |
| 1851945422 | Melissa Fackler | Counselor | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| 1811185275 | Janet May Widmyer | Registered Nurse | 2960 Tongass Aveune, Suite 403, Ketchikan, AK 99901 | 2007-10-11 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141194 | Harry Martin Jr. | Case Manager/Care Coordinator | 39 Lake Rd, Ketchikan, AK 99901-9769 | 2018-11-01 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1770887820 | Steffani Rae Schwierking | Case Manager/Care Coordinator | 176 Pond Reef Rd, Ketchikan, AK 99901-9308 | 2011-01-04 |
| 1841409208 | Maryann Olsen | Case Manager/Care Coordinator | 4604 North Tongass, Ketchikan, AK 99901 | 2007-05-22 |
| 1326257544 | Laurie Anne Thomas | Case Manager/Care Coordinator | Community Connections, 201 Deermount St., Ketchikan, AK 99901 | 2007-05-22 |
| 1194848184 | Lisa C Noland | Case Manager/Care Coordinator | 201 Deermount St, Ketchikan, AK 99901-6649 | 2007-04-06 |
| 1407474455 | Jessica Peavy | Case Manager/Care Coordinator | 3050 Fifth Ave, Ketchikan, AK 99901-5773 | 2020-07-07 |
| 1952713430 | Kathleen Kloep | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
| 1861804338 | Sharyl Yeisley | Case Manager/Care Coordinator | 721 Stedman St, Ketchikan, AK 99901-6632 | 2014-06-02 |
| 1427460997 | Gerry Balluta | Case Manager/Care Coordinator | 2960 Tongass Ave, Ketchikan, AK 99901-5742 | 2014-06-02 |
| Find all providers in KETCHIKAN | ||||
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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.