BLAKE BENSON (NPI# 1740770361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740770361 |
Entity Type | Individual |
Full Name | BLAKE BENSON |
Credential | LPC |
Practice Address |
4004 Peach Creek Dr Wharton TX 77488 |
Mailing Address |
4004 Peach Creek Dr Wharton TX 77488-9716 |
Practice Telephone | 8326217581 |
Mailing Telephone | 8326217581 |
Enumeration Date | 2018-05-18 |
Last Update Date | 2018-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
75171 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE LICENSE | 75171 | 01 |
Street Address |
4004 PEACH CREEK DR |
City | WHARTON |
State | TX |
Zip Code | 77488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449386 | Matagorda Episcopal Health Outreach Program | Clinic/Center | 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 | 2020-08-28 |
1417413188 | El Campo Memorial Hospital | Family Medicine | Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 | 2019-02-18 |
1740761311 | L S & Associates LLC | Contractor | 701 Mattie St, Wharton, TX 77488 | 2018-08-22 |
1750886495 | Clifford Eleazer Wilson | Pharmacist | 214 W Alhdag Avenue, Wharton, TX 77488 | 2018-03-26 |
1376045104 | There Is Victory In Jesus Recovery Center | Counselor | 218 North Houston Street, Wharton, TX 77488 | 2018-03-07 |
1578084877 | Wharton Eye Associates Pa | Ophthalmology | 10119 Us Hwy 59 South, Suite 4, Wharton, TX 77488 | 2017-06-28 |
1508386921 | El Campo Memorial Hospital | Family Medicine | 10358 Us Hwy 59 #a, Wharton, TX 77488 | 2017-06-27 |
1710334602 | Amgref Health Systems Corporation | Home Health | 307 West Milam Street, Suite 201, Wharton, TX 77488 | 2016-05-20 |
1073997078 | Elelyon Health Care LLC | Home Health | 607 N Fulton Street, Wharton, TX 77488 | 2015-07-20 |
1700288552 | Kayla Lezak | Physician Assistant | 1041 Us 59 Highway Suite A, Wharton, TX 77488 | 2014-09-24 |
Find all providers in zip 77488 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255965943 | Melissa Davidoff | Counselor | 20 Gordon Rd, Wharton, NJ 07885-1012 | 2020-03-03 |
1609177914 | Sandra V Hochman | Counselor | 607 Center St, Wharton, TX 77488-4150 | 2010-11-03 |
1770593444 | Linda Susan Runnells | Counselor | 623 North Fulton Street, Wharton, TX 77488 | 2006-08-08 |
1881010544 | Franklin M. Jenkins | Counselor | 3007 N Richmond Rd, Wharton, TX 77488-2007 | 2014-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093316903 | Christi Shortes | Counselor | 5024 Fm 304, Corsicana, TX 75109 | 2020-11-06 |
1265033047 | Rosa Isela Vidal | Counselor | 710 W Dove Ave, Pharr, TX 78577-9080 | 2020-11-06 |
1245831841 | Armando Martinez Jr. | Counselor | 2321 Nightingale Ave, Mcallen, TX 78504-4246 | 2020-11-02 |
1386245850 | Sondra Whitaker | Counselor | 19827 Billineys Park Dr, Katy, TX 77449-8538 | 2020-11-02 |
1902407430 | John Woodruff | Counselor | 206 S Kentucky St Ste 101, Mckinney, TX 75069-5439 | 2020-11-02 |
1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
1821698531 | Stephenie Johnson | Counselor | 603 Ellington, Ropesville, TX 79358 | 2020-10-30 |
1770183477 | Yoonkyung Chung | Counselor | 312 W Westway Ave, Mcallen, TX 78501-2179 | 2020-10-30 |
1104426824 | Debrah Lynn Alsobrook | Counselor | 6601 Cypresswood Dr Ste 224, Spring, TX 77379-7893 | 2020-10-30 |
1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
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.