MR. BENJAMIN SINCLAIR (NPI# 1740774223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740774223 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN SINCLAIR |
| Credential | LPC |
| Practice Address |
45 Executive Dr Jackson TN 38305-2337 |
| Mailing Address |
10710 Old Highway 64 Bolivar TN 38008-3587 |
| Practice Telephone | 7316642111 |
| Practice Fax Number | 7316641988 |
| Mailing Telephone | 7312031011 |
| Mailing Fax Number | 7316581597 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC0000003240 | TN | Behavioral Health & Social Service Providers |
| Street Address |
45 EXECUTIVE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217783 | Traci Schott | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2006-08-29 |
| 1992074348 | Autumn N Smith | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2011-12-14 |
| 1710283197 | Cynthia Mosher | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2011-02-02 |
| 1104139765 | Felicia Richard | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2010-07-23 |
| 1538471982 | Acunda Bond | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2010-07-13 |
| 1487983417 | Derrick Robinson | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2009-12-22 |
| 1215178587 | Betty A Barnette | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2009-03-17 |
| 1265672695 | Gloria Jones | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2009-02-25 |
| 1881841476 | Kelly K Odum | Social Worker | 45 Executive Dr, Jackson, TN 38305-2337 | 2008-08-26 |
| 1376720318 | Mary Elizabeth Thompson | Counselor | 45 Executive Dr, Jackson, TN 38305-2337 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1992339071 | Open Door Family Counseling | Counselor | 316 S Brown St Ste A, Jackson, MI 49203-1481 | 2020-02-27 |
| 1891334108 | Jamie Alane Merrill | Counselor | 1214 Greenwood Ave, Jackson, MI 49203-3037 | 2020-01-03 |
| 1285273078 | Hall Consulting Services LLC | Counselor | 1155 Briarwood Dr, Jackson, MS 39211-4204 | 2019-12-27 |
| 1114496387 | New Direction Counseling Center, LLC | Counselor | 1200 N West Ave Ste 809, Jackson, MI 49202-2196 | 2018-11-17 |
| 1811490964 | Lifeworks Resources, LLC | Counselor | 575 S Royal St Ste 24, Jackson, TN 38301-7307 | 2018-03-15 |
| 1912409764 | Impact Behavioral Counseling LLC | Counselor | 1551 E County Line Rd Ste B, Jackson, MS 39211-1801 | 2018-03-07 |
| 1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
| 1033626031 | Heather R. Chruch | Counselor | 180 W Michigan Ave Ste 204, Jackson, MI 49201-1342 | 2017-12-29 |
| 1861908337 | Matthew T Tompkins | Counselor | 810 E Jackson Blvd Ste B1, Jackson, MO 63755-2400 | 2017-12-20 |
| Find all providers in JACKSON | ||||
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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.