PENNY L BENDORF (NPI# 1053688309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053688309 |
Entity Type | Individual |
Full Name | PENNY L BENDORF |
Credential | PLADC |
Practice Address |
333 W Norfolk Ave Suite 201 Norfolk NE 68701-5219 |
Practice Telephone | 4023792030 |
Practice Fax Number | 4023793933 |
Mailing Telephone | 4023792030 |
Mailing Fax Number | 4023793933 |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-924 | NE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 39189435426 | 05 |
Street Address |
333 W NORFOLK AVE SUITE 201 |
City | NORFOLK |
State | NE |
Zip Code | 68701-5219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659336675 | Jeffrey M Vidra | Counselor | 333 W Norfolk Ave, Ste 201, Norfolk, NE 68701-5401 | 2006-04-20 |
1386188985 | Barbara N Kibugi | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2016-12-15 |
1386072213 | Kim D Mccarthy | Case Manager/Care Coordinator | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2013-11-01 |
1245663020 | John A Steadman | Community Health Worker | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2013-08-15 |
1033469747 | Anna M Malone | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2012-09-11 |
1174823322 | Aimee S Barnes | Counselor | 333 W Norfolk Ave, Norfolk, NE 68701-5232 | 2010-10-21 |
1063665917 | Kirk R Carmichael | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5219 | 2008-10-23 |
1851552749 | Patricia Ann True | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5232 | 2008-06-23 |
1588862981 | Stephanie Ann Zakrzewski-grubb | Counselor | 333 W Norfolk Ave, Ste. 201, Norfolk, NE 68701-5232 | 2007-07-06 |
1740246164 | Gina M Thurlow | Counselor | 333 W Norfolk Ave, Ste 201, Norfolk, NE 68701-5401 | 2006-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
Find all providers in zip 68701 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1154885366 | Transforming Hearts, LLC | Counselor | 900 Granby St Ste 242, Norfolk, VA 23510-2503 | 2019-01-22 |
1407331135 | Demeitrius M Whitehurst | Counselor | 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Ste 302, Norfolk, VA 23606-2360 | 2018-09-27 |
1114449162 | Second Start, LLC | Counselor | 1432 Baychester Ave Apt A4, Norfolk, VA 23503-2320 | 2017-07-12 |
1760807754 | Sara Heller | Counselor | 39 Grant St, Norfolk, CT 06058-1327 | 2014-02-27 |
1942634977 | Elizabeth Nicole Snow | Counselor | 6325 N Center Dr Ste 202, Norfolk, VA 23502-0019 | 2013-08-27 |
1255689527 | Andrea Danette Sutton | Counselor | 402 E Little Creek Rd, Norfolk, VA 23505-2714 | 2012-08-16 |
1609137108 | Kelly M Higgins | Counselor | 9515 Dulwich Cres, Norfolk, VA 23503-2850 | 2012-06-01 |
1386951499 | Stacy Richardson | Counselor | 521 Park Cres, Norfolk, VA 23511-4009 | 2010-09-10 |
1639342884 | Donald E Edwards | Counselor | 1001 W Norfolk Ave, Norfolk, NE 68701-5057 | 2008-04-09 |
1073707410 | Janice Gray | Counselor | 110 Kingsley Ln Ste 206, Norfolk, VA 23505-4616 | 2007-08-29 |
Find all providers in NORFOLK |
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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.