MR. TRACY W BENNETT


Address: 95 India St, Portland, ME 04101-4250
Phone: 2076042461

MR. TRACY W BENNETT (NPI# 1487869210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487869210
Entity Type Individual
Full Name MR. TRACY W BENNETT
Credential LCPC
Practice Address 95 India St
Portland
ME 04101-4250
Mailing Address 1590 Milton Mills Rd
Acton
ME 04001-5008
Practice Telephone 2076042461
Practice Fax Number 2075148333
Mailing Telephone 2076042461
Mailing Fax Number 2075148333
Enumeration Date 2007-05-14
Last Update Date 2016-05-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
CC1576 ME Behavioral Health & Social Service Providers

Other Providers TRACY BENNETT

NPI Name Taxonomy Address Enumeration
1285243444 Tracy Travina Bennett Registered Nurse 10762 Wilson Ave, Alta Loma, CA 91737-2436 2020-07-23
1548741895 Tracy Lynne Bennett Nurse Practitioner 6262 Highway 316 S, Marvell, AR 72366-9439 2018-08-24
1811379332 Tracy Lynn Bennett Nurse Practitioner 3281 Kessock Ridge Trl, Snellville, GA 30039-3112 2015-06-20
1285790360 Tracy S Bennett Psychologist 340 Rosewood Ave, Camarillo, CA 93010-5927 2006-12-31
1619449147 Tracy Bennett Social Worker 12265 James St, Holland, MI 49424-8613 2018-12-21
1457560419 Tracy M Bennett Physician Assistant 360 Broadway, Bangor, ME 04401-3900 2007-05-22

Office Location

Street Address 95 INDIA ST
City PORTLAND
State ME
Zip Code 04101-4250

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831198266 Joseph S Roberts Counselor 95 India St, Third Floor, Portland, ME 04101-4250 2005-07-18
1225663883 Stephanie Rose Tranchemontagne, Lcsw LLC Social Worker 95 India St, Portland, ME 04101-4250 2020-03-04
1184828063 Mary Elizabeth Montgomery Counselor 95 India St, Portland, ME 04101-4250 2007-06-13
1265654065 Margery Boody Pattison Social Worker 95 India St, Ste 5, Portland, ME 04101-4250 2007-05-02
1912037912 Michele Anne Robitaille Social Worker 95 India St, Portland, ME 04101-4250 2007-03-07
1376680553 Michelle Zimmerman Counselor 95 India St, Portland, ME 04101-4250 2007-01-30
1124197389 Peter David Wilk Psychiatry & Neurology 95 India St, Third Floor, Portland, ME 04101-4250 2006-11-06
1053418673 David M. Radmore Social Worker 95 India St, Portland, ME 04101-4250 2006-09-17
1922058122 Brief Therapy Associates Social Worker 95 India St, Portland, ME 04101-4250 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748243 Jessica M Feinsmith Counselor 6530 N Williams Ave, Portland, OR 97217-1924 2020-10-21
1720687809 Karissa Myriah Gregory Counselor 14255 Se Rupert Dr, Portland, OR 97267-1211 2020-10-20
1528667904 Zuzana Sakova Counselor 819 Se Morrison St Ste 225, Portland, OR 97214-6311 2020-10-18
1891302238 Nina Landey Counselor 120 Se 53rd Ave, Portland, OR 97215-1204 2020-09-29
1902412166 Peter H Addy LLC Counselor 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 2020-09-22
1326654765 Naomi Painter Counselor 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 2020-09-21
1750996104 Sara Fuller Counselor 3016 Ne 70th Ave, Portland, OR 97213-5802 2020-09-12
1114532983 Matthew W Cronin Counselor 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 2020-09-09
1447865381 Luke Colbourn Counselor 2705 E Burnside St Ste 206, Portland, OR 97214-1768 2020-09-08
1710599774 Abigail Kathryn Ernst Counselor 1020 Sw Taylor St # 100, Portland, OR 97205-2543 2020-08-20
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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

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.

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