TOM BENIKE (NPI# 1063942969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063942969 |
| Entity Type | Individual |
| Full Name | TOM BENIKE |
| Credential | LPC-IT |
| Practice Address |
1499 6th St Green Bay WI 54304-2252 |
| Practice Telephone | 9204976161 |
| Practice Fax Number | 9204976161 |
| Mailing Telephone | 9204976161 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3512-226 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| STATE LICENSE | 3512-226 | 01 |
| Street Address |
1499 6TH ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093869588 | Innovative Counseling Inc | Community/Behavioral Health | 1499 6th St, Innovative Counseling Inc, Green Bay, WI 54304-2252 | 2007-01-22 |
| 1891302196 | Katrina Verhagen | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-30 |
| 1134733595 | Kayla Testroete | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-03 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1053938142 | Tianna Abts | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-06 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1326688466 | Kristie Durst | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-01-07 |
| 1659915130 | Claire Schrier | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1285278630 | Nicholas Hugo | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1801439336 | Elizabeth Oberndorfer | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1811412521 | Karlye Krien | Counselor | 1061 W Mason St, Green Bay, WI 54303-1858 | 2017-08-03 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1205387271 | Anne Karjala-dobbins | Counselor | 1985 E Telemark Cir, Green Bay, WI 54313-4335 | 2016-10-14 |
| 1689026650 | Catherine Calo | Counselor | 529 Greene Ave, Green Bay, WI 54301-2819 | 2016-07-01 |
| 1225498983 | Michael Sherman Fentress | Counselor | 2711 Humboldt Rd Apt 2, Green Bay, WI 54311-8463 | 2016-02-24 |
| 1831566363 | Stephanie Birmingham | Counselor | 1900 Morrow St, #106, Green Bay, WI 54302-3479 | 2015-09-01 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1700272929 | Kerri Schmidt | Counselor | 916 Willard Drive, Suite #136, Green Bay, WI 54304-6223 | 2015-04-14 |
| Find all providers in GREEN BAY | ||||
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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.