MS. KELLY LYNNE BENJAMIN (NPI# 1821276460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821276460 |
| Entity Type | Individual |
| Full Name | MS. KELLY LYNNE BENJAMIN |
| Practice Address |
942 E Chapman Ave Orange CA 92866-2109 |
| Practice Telephone | 7143991860 |
| Practice Fax Number | 7143991867 |
| Mailing Telephone | 7143991860 |
| Mailing Fax Number | 7143991867 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2013-06-06 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380567 | Kelly Wilson Benjamin | Counselor | 1821 Pickens St, Columbia, SC 29201-2630 | 2017-11-29 |
| Street Address |
942 E CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932517943 | Deanna Nabi | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-07-23 |
| 1962822973 | Denise Sandoval | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-04-17 |
| 1073931259 | Jesse Leal-magana | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-04-03 |
| 1689090706 | Mayra Chavarria | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-03-13 |
| 1710303391 | Alina Moreno | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-03-06 |
| 1053736777 | Mario Muratalla | Counselor | 942 E Chapman Ave, Orange, CA 92866-2109 | 2014-03-04 |
| 1922439058 | Shelon Evans | Social Worker | 942 E Chapman Ave, Orange, CA 92866-2109 | 2013-11-27 |
| 1215378773 | Diana Gonzalez | Social Worker | 942 E Chapman Ave, Orange, CA 92866-2109 | 2013-07-12 |
| 1588005144 | Fiorella Dowell | Social Worker | 942 E Chapman Ave, Orange, CA 92866-2109 | 2013-07-11 |
| 1336589928 | Zoraida Murillo | Social Worker | 942 E Chapman Ave, Orange, CA 92866-2109 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| 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 |
|---|---|---|---|---|
| 1669978581 | Dominique Cajuste | Case Manager/Care Coordinator | 385 Alden St, Orange, NJ 07050-1903 | 2018-03-30 |
| 1821515768 | Rafaela Montoya | Case Manager/Care Coordinator | 812 W. Town & Country Road, Orange, CA 92868 | 2017-08-22 |
| 1487024014 | Michael Joseph Rocha | Case Manager/Care Coordinator | 445 S Tustin St, Orange, CA 92866-2503 | 2015-09-24 |
| 1134390610 | Gema Irene Diaz | Case Manager/Care Coordinator | 500 South Maint St, Suite 1100, Orange, CA 92868 | 2008-03-12 |
| 1700070463 | Deno Lorenzo Rocha | Case Manager/Care Coordinator | 11745 Orangewood Av, # 103, Orange, CA 92868 | 2007-09-05 |
| 1023651171 | Marcia Ann Flynn | Case Manager/Care Coordinator | 131 W Main St, Orange, MA 01364-1150 | 2019-10-22 |
| 1730747361 | Shealynn Robbins | Case Manager/Care Coordinator | 200 E Katella Ave, Orange, CA 92867-4804 | 2019-05-29 |
| 1821654328 | Cecilia Verenice Mejia | Case Manager/Care Coordinator | 1855 W Katella Ave Ste 150, Orange, CA 92867-3432 | 2019-05-10 |
| 1831671692 | Lizette Galvan-perez | Case Manager/Care Coordinator | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2018-08-29 |
| 1124543053 | Maritza Estela Estrada | Case Manager/Care Coordinator | 1120 W La Veta Ave, Orange, CA 92868-4231 | 2017-08-11 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on MS. KELLY LYNNE BENJAMIN.
| 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.