DANIEL FISK BENNETT (NPI# 1174141634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174141634 |
| Entity Type | Individual |
| Full Name | DANIEL FISK BENNETT |
| Practice Address |
9330 59th Ave Sw Lakewood WA 98499-2858 |
| Practice Telephone | 2535817020 |
| Mailing Telephone | 2536205012 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | VA HEALTHCARE | 7346243588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940340 | Daniel Bennett | Technician | 1007 N Jefferson St, Litchfield, IL 62056 | 2019-09-06 |
| 1750629838 | Daniel Eric Bennett | Rehabilitation Practitioner | 202 S. Main St, Watts, OK 74964 | 2013-01-23 |
| 1649755679 | Daniel L Bennett | Behavior Technician | 134 E 13th Ave Ste 2b, Eugene, OR 97401-3572 | 2018-09-25 |
| 1073925954 | Daniel Bennett | Physical Therapist | 3350 Wilkens Ave, Suite 303, Baltimore, MD 21229-4600 | 2014-05-27 |
| 1972852010 | Daniel Coleman Bennett | Nurse Practitioner | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2012-09-05 |
| 1013200997 | Daniel N. Bennett | Internal Medicine | 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 | 2011-05-25 |
| 1740587310 | Daniel A Bennett | Chiropractor | 15 Jane Jacobs Rd, Suite 202, Black Mountain, NC 28711-6306 | 2011-02-17 |
| 1376715565 | Daniel Kittelle Bennett | Ophthalmology | 4414 Lake Boone Trl Ste 302, Raleigh, NC 27607-7514 | 2008-03-27 |
| 1598892374 | Daniel S Bennett | Dentist | 1121 W Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-02-27 |
| 1699884783 | Daniel A Bennett | Counselor | 4601 Corbett Dr, Fort Collins, CO 80528-9579 | 2006-08-30 |
| Street Address |
9330 59TH AVE SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225039811 | Greater Lakes Mental Health Foundation Inc | Community/Behavioral Health | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2005-08-03 |
| 1568063915 | Taibika O Lofton | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1164023552 | Meaghan Nicole Trezza | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-11-03 |
| 1295335362 | Estrella Nicole Alderete | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-28 |
| 1760081004 | Taylor Shae Brenneise | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-19 |
| 1508463324 | Lacey Lynn Gomez | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-10-05 |
| 1487261186 | Mallory Enola O'brien | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-26 |
| 1912513136 | Ashley Maeve Marrow | Peer Specialist | 9330 59th Ave Sw, Lakewood, WA 98499-6600 | 2020-09-22 |
| 1376158527 | Sydney Freutel | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-14 |
| 1063027522 | Tiffany Lynn Myers | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126138 | Whispering Pines Wellness | Community/Behavioral Health | 950 Wadsworth Blvd Ste 201, Lakewood, CO 80214-4542 | 2019-10-17 |
| 1770135592 | Ymca of Greater Monmouth County | Community/Behavioral Health | 90 Spruce St, Lakewood, NJ 08701-5329 | 2019-07-11 |
| 1861044687 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1141 E County Line Rd, Lakewood, NJ 08701-2153 | 2019-07-11 |
| 1053979278 | Fuller Life Concepts | Community/Behavioral Health | 5150 Candlewood St Ste 18c, Lakewood, CA 90712-1927 | 2019-06-03 |
| 1720641004 | Beaware Corp.. | Community/Behavioral Health | 1215 Route 70 Ste 2001, Lakewood, NJ 08701-7023 | 2019-04-22 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1760962369 | Desiree Fink | Community/Behavioral Health | 4726 Josie Ave, Lakewood, CA 90713-2701 | 2018-08-14 |
| 1245716695 | New Trail Counseling | Community/Behavioral Health | 10230 W 26th Ave Ste 9, Lakewood, CO 80215-1424 | 2018-07-18 |
| 1003315839 | Anxiety Gaming Inc | Community/Behavioral Health | 5150 Candlewood Street, 6e, Lakewood, CA 90712-1925 | 2018-02-07 |
| 1699287748 | Schi Disability Services | Community/Behavioral Health | 1147 Central Ave, Lakewood, NJ 08701 | 2017-10-30 |
| Find all providers in LAKEWOOD | ||||
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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.