MS. BRYNN BENISHAKE (NPI# 1386033322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386033322 |
| Entity Type | Individual |
| Full Name | MS. BRYNN BENISHAKE |
| Credential | MA |
| Practice Address |
1040 Waltham St Lexington MA 02421-8033 |
| Practice Telephone | 7818623600 |
| Mailing Telephone | 7818623600 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | M18633 | 01 |
| MA | BMC | 0000023532 | 01 |
| MA | NETWORK HEALTH | 99618201 | 01 |
| MA | TAX ID | 042611055 | 01 |
| MA | NHP | 1004745 | 01 |
| MA | MBHP | 1303287 | 01 |
| MA | 1303287 | 05 |
| Street Address |
1040 WALTHAM ST |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649219023 | Matthew Paul Snell | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2006-06-04 |
| 1972046100 | Anthony Pflugradt | Behavior Technician | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-11-20 |
| 1518409671 | Hyun-zie Tara Hong | Social Worker | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-11-07 |
| 1427500057 | Jessica Miyu Magyar | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-10-31 |
| 1427509249 | Francis Connelly | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-10-17 |
| 1033668546 | Monique Mitchell | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-26 |
| 1952859647 | Kimberly Tucker | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-12 |
| 1386192086 | Kelly Swartz | Social Worker | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-12 |
| 1477001170 | Kate Tessmann | Social Worker | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-12 |
| 1891243580 | Michelle Galper | Counselor | 1040 Waltham St, Lexington, MA 02421-8033 | 2016-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| 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 |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1447862560 | New Moon Counseling and Wellness, LLC | Counselor | 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 | 2020-08-19 |
| 1194370429 | Brain Health Center Psc | Counselor | 535 W Second St Ste 205, Lexington, KY 40508-2183 | 2019-08-05 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1326588120 | Ethan Nathaniel Grimes | Counselor | 124 Cisco Rd, Lexington, KY 40504-1143 | 2017-02-28 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1265977342 | Tara Bangtson | Counselor | 251 E Maxwell St, Lexington, KY 40508-2636 | 2016-12-28 |
| 1265974828 | Megan Perkins | Counselor | 464 W Second St # 9, Lexington, KY 40507-1040 | 2016-11-14 |
| 1851768436 | Rebecca Lynn Host | Counselor | 128 Dennis Dr, Lexington, KY 40503-2917 | 2015-08-30 |
| Find all providers in LEXINGTON | ||||
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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.