ELLEN M BENSON LLC (NPI# 1588925853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588925853 |
| Entity Type | Organization |
| Organization Name | ELLEN M BENSON LLC |
| Practice Address |
345 Boulevard Ne Suite 100 Atlanta GA 30312-1216 |
| Mailing Address |
762 Weybourne Ct Marietta GA 30066-4804 |
| Practice Telephone | 4046043700 |
| Practice Fax Number | 4046043705 |
| Mailing Telephone | 4042421962 |
| Mailing Fax Number | 4046043705 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MS. ELLEN M BENSON (OWNER) |
| Authorized Official Telephone | 4042421962 |
| Authorized Official Credential | MSN, APRN, BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
RN110079 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 455012559A | 05 | |
| GA | MEDICARE PTAN | 202G704527 | 01 |
| Street Address |
345 BOULEVARD NE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568652741 | Professional Counseling Center of Atlanta, LLC | Community/Behavioral Health | 345 Boulevard Ne, Suite 100, Atlanta, GA 30312-1216 | 2007-07-25 |
| 1891131785 | Robert Dykes | Social Worker | 345 Boulevard Ne, Atlanta, GA 30312-1216 | 2013-05-17 |
| 1891940854 | Jon C Patterson | Counselor | 345 Boulevard Ne, Suite 100, Atlanta, GA 30312-1216 | 2008-11-18 |
| 1487817144 | George David Angelich | Counselor | 345 Boulevard Ne, Ste-100, Atlanta, GA 30312-1216 | 2008-07-02 |
| 1851551774 | Timothy Scott Starratt | Counselor | 345 Boulevard Ne, Suite 100, Atlanta, GA 30312-1216 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1922582907 | United Hearts Behavioral Health LLC. | Clinic/Center | 5832 Harrier Ln, Atlanta, GA 30349-8871 | 2018-09-17 |
| 1922501576 | Acorn Center for Counseling, Growth, & Healing LLC | Clinic/Center | 942 North Ave Ne, Atlanta, GA 30306-4466 | 2018-03-09 |
| 1750747812 | Dunwoody Psychiatry and Psychotherapy Center | Clinic/Center | 2150 Peachford Rd Ste V, Atlanta, GA 30338-6539 | 2016-01-05 |
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1790393866 | A Sound Mind Rehabilitation Institution Inc. | Clinic/Center | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2020-07-15 |
| 1043834724 | Renewed & Restored LLC | Clinic/Center | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2020-05-29 |
| 1316577091 | Lotus Therapeutic Services | Clinic/Center | 2900 Chamblee Tucker Rd, Atlanta, GA 30341-4100 | 2020-01-22 |
| Find all providers in ATLANTA | ||||
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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.