JACQUELYN BENITES (NPI# 1740846518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740846518 |
| Entity Type | Individual |
| Full Name | JACQUELYN BENITES |
| Practice Address |
357 East St Plainville CT 06062-3260 |
| Mailing Address |
357 East St Plainville CT 06062 |
| Practice Telephone | 8607939048 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | XGC0575M20743 | 01 |
| Street Address |
357 EAST ST |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967263 | Zachary Mcpherson | Pharmacist | 5 Farmington Avenue, Plainville, CT 06062 | 2019-11-24 |
| 1851891634 | Nora Ainsworth | Dietitian, Registered | 28 North St Apt 4, Plainville, CT 06062 | 2018-02-18 |
| 1104348192 | The Center for Emotional Healing, LLC | Community/Behavioral Health | 307 East Street, Unit 1, Plainville, CT 06062 | 2017-07-11 |
| 1013441385 | Plainville Community Pharmacy LLC | Pharmacy | 170 East Street, Plainville, CT 06062 | 2017-04-13 |
| 1730551821 | Christelle Locke-johnson | Counselor | 91 Wheeler Clinic, 91 Northwest Drive, Plainville, CT 06062 | 2015-10-28 |
| 1982080560 | Jamie Erickson | Student in an Organized Health Care Education/Training Program | 91 Northwood Drive, Plainville, CT 06062 | 2015-08-05 |
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1285067603 | Bethany Anne Carr | Nurse Practitioner | 201 North Mountain Rd, Plainville, CT 06062 | 2013-08-21 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| Find all providers in zip 06062 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1134491962 | Omar Lee Miranda | Counselor | 155 Earl St, Plainville, GA 30733-9672 | 2012-02-09 |
| 1669777488 | Nancy E King | Counselor | 190 Tomlinson Ave, 7a, Plainville, CT 06062-2979 | 2011-01-26 |
| 1114227972 | Jill K Little | Counselor | 30 Man Mar Dr Ste 12, Plainville, MA 02762-2271 | 2010-10-27 |
| 1396976742 | Jessica Laurel Thompson | Counselor | 25 Messenger St Ste 7, Plainville, MA 02762 | 2009-08-03 |
| 1518030626 | Debra L Jarousky | Counselor | 30 Man Mar Dr Ste 13, Plainville, MA 02762-2271 | 2006-11-16 |
| 1336187541 | Lisa Marie Pelletier-branco | Counselor | 30 Man Mar Dr, Suite 13, Plainville, MA 02762-2249 | 2006-06-02 |
| 1962025692 | Mary-ann Alisha Staggers | Counselor | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-28 |
| 1700421047 | Caitlin Penchoff | Counselor | 91 Northwest Dr, Plainville, CT 06062-1552 | 2019-11-11 |
| 1275184731 | Live Empowered Therapy | Counselor | 25 Messenger St Ste 7, Plainville, MA 02762-5012 | 2019-09-26 |
| Find all providers in PLAINVILLE | ||||
| City | PLAINVILLE |
| Zip Code | 06062 |
Please comment or provide details below to improve the information on JACQUELYN BENITES.
| 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.