MS. TRACEY A. BENNER (NPI# 1578713319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578713319 |
| Entity Type | Individual |
| Full Name | MS. TRACEY A. BENNER |
| Practice Address |
30 Warren St Boston MA 02135-3602 |
| Mailing Address |
30 Warren Street Boston MA 02135 |
| Practice Telephone | 6172543800 |
| Mailing Telephone | 6172543800 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
30 WARREN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02135-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721798 | Nancy Tran | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2019-07-09 |
| 1952878399 | Anne Hannan | Social Worker | 30 Warren St, Boston, MA 02135-3602 | 2018-10-24 |
| 1265911390 | Lauren Sterlin | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2018-08-09 |
| 1104345073 | Kathleen S Holte | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-12 |
| 1972022077 | Megan Ahnen | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2017-09-11 |
| 1801314463 | Katherine Jordan | Counselor | 30 Warren St, Boston, MA 02135 | 2017-09-05 |
| 1134646334 | Sarah Williams | Occupational Therapist | 30 Warren St, Boston, MA 02135-3602 | 2017-08-28 |
| 1467909671 | Jordan Constance | Psychologist | 30 Warren St, Boston, MA 02135-3602 | 2016-09-06 |
| 1972972081 | Olivia Tosi | Student in an Organized Health Care Education/Training Program | 30 Warren St, Boston, MA 02135-3602 | 2015-09-18 |
| 1033585898 | Marcela Teresa Donat | Physical Therapist | 30 Warren St, Boston, MA 02135-3602 | 2015-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| 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 |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1508463688 | April Chante Rowell | Counselor | 25 Kingston St Ste 4r, Boston, MA 02111-2200 | 2020-10-02 |
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1578181871 | Victor Stewart | Counselor | 37 Copeland St Apt 3, Boston, MA 02119-2288 | 2020-07-13 |
| 1831712165 | Mona Hdeib | Counselor | 7 Avenue De Lafayette # 120153, Boston, MA 02111-1736 | 2020-05-21 |
| 1316587413 | Laurence Phillip Casey | Counselor | 63 Woolson St Apt 1, Boston, MA 02126-2072 | 2020-01-07 |
| 1487295036 | Alisa C. Ritchie | Counselor | 1 Westinghouse Plz Fl 2, Boston, MA 02136-2075 | 2019-10-04 |
| 1508412636 | Madison Lambert | Counselor | 39 Bowdoin St, Boston, MA 02114-4201 | 2019-08-14 |
| 1730748104 | Nassima Mouhoubi | Counselor | 105 Chauncy St Fl 5, Boston, MA 02111-1726 | 2019-06-10 |
| 1336622943 | James Allan Scholl | Counselor | 85 E Newton St # M912, Boston, MA 02118-2841 | 2018-09-10 |
| Find all providers in BOSTON | ||||
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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.