KATINA LYNN BENNETT (NPI# 1942703806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942703806 |
| Entity Type | Individual |
| Full Name | KATINA LYNN BENNETT |
| Credential | LLPC |
| Practice Address |
54710 Bates Rd Chesterfield MI 48051-1621 |
| Practice Telephone | 5862192791 |
| Mailing Telephone | 5862192791 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401016114 | MI | Behavioral Health & Social Service Providers |
| Street Address |
54710 BATES RD |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48051-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139877 | Courtney Lynn Wittfeldt | Nurse Practitioner | 48833 Shady Glen Dr, Chesterfield, MI 48051 | 2017-08-14 |
| 1477082972 | Kathryn Louise Bruhns Zemke | Behavior Technician | 53869 Connor Drive, Chesterfield, MI 48051 | 2017-06-08 |
| 1417352055 | Julie Yaroch | Counselor | 51629 Hale Lane, Chesterfield Twp., MI 48051 | 2014-10-24 |
| 1437579661 | Jennifer Groeneveld | Physical Therapist | 34095 23 Mile Road, Chesterfield, MI 48051 | 2014-04-28 |
| 1376874396 | Donna Sue Perkins | Counselor | 50630 Chesterfield Road, Chesterfield, MI 48051 | 2010-01-15 |
| 1134267016 | Gary Main Burnett | Counselor | 46360 Gratiot Ave., Chesterfield, MI 48051 | 2007-02-02 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1447228168 | Stephanie Lynn Denner | Occupational Therapist | 47085 Gratiot, Ceterfield, MI 48051 | 2006-03-09 |
| 1821077827 | Kathleen Marie-sohn Kudzia | Counselor | 46360 Gratiot, Chesterfield, MI 48051 | 2006-01-10 |
| 1366904708 | Tmj & Sleep Therapy Centre of Macomb County, Pllc | Dentist | 50475 Gratiot, Suite 4, Chesterfield, MI 48051 | 2019-04-04 |
| Find all providers in zip 48051 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189148 | Building Bright Futures Pllc | Counselor | 46129 Crown Ct, Chesterfield, MI 48051-3239 | 2020-06-19 |
| 1285256222 | Robin Ratliff Jones | Counselor | 6801 Lucy Blvd., 92, Chesterfield Mental Health, Chesterfield, VA 23832 | 2020-05-13 |
| 1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
| 1225675655 | Jennifer Feil | Counselor | 32901 23 Mile Rd Ste 190, Chesterfield, MI 48047-4064 | 2019-12-04 |
| 1962059006 | Metamorphosis Health and Wellness Center, LLC | Counselor | 10106 Krause Rd Ste 206, Chesterfield, VA 23832-6572 | 2019-08-22 |
| 1093361784 | Chesterfield Counseling Associates, LLC | Counselor | 15455 Conway Rd Ste 345, Chesterfield, MO 63017-6033 | 2019-08-18 |
| 1497308274 | John Wade Puryear | Counselor | 10202 Donegal Pl, Chesterfield, VA 23832-3753 | 2019-07-20 |
| 1326504747 | Britni Higginbotham | Counselor | 6819 Bixby Ln, Chesterfield, VA 23838-6002 | 2019-02-11 |
| 1982177481 | David Culver Smith | Counselor | 15739 Tambour Ct, Chesterfield, MO 63017-7224 | 2019-01-07 |
| 1841672201 | Courtney Petley | Counselor | 4318 Boones Bluff Way, Chesterfield, VA 23832-7694 | 2015-06-22 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48051 |
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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.