MR. KYLE MICHAEL BENSON (NPI# 1649802331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649802331 |
| Entity Type | Individual |
| Full Name | MR. KYLE MICHAEL BENSON |
| Credential | AGENCY AFFILIATE |
| Practice Address |
6201 Pacific Ave Ste C3 Tacoma WA 98408-7423 |
| Mailing Address |
18200 73rd Ave Ne Unit A110 Kenmore WA 98028-7312 |
| Practice Telephone | 2533638853 |
| Practice Fax Number | 2532921919 |
| Mailing Telephone | 4253446026 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 60964668 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611544 | Kyle Elizabeth Benson | Student in an Organized Health Care Education/Training Program | 4985 Stablegate Ct, Cumming, GA 30028-7967 | 2020-02-20 |
| 1013425685 | Kyle Joseph Benson | Behavioral Analyst | 7 Cypress Dr, Burlington, MA 01803 | 2018-01-17 |
| Street Address |
6201 PACIFIC AVE STE C3 |
| City | TACOMA |
| State | WA |
| Zip Code | 98408-7423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447597612 | Troy A Huffman | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2013-01-08 |
| 1689271710 | Timothy Skipworth | Marriage & Family Therapist | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2020-10-01 |
| 1063029809 | Stephanie Stark | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2020-09-25 |
| 1366075376 | Keri Lynn Mclerran | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2020-02-18 |
| 1730710492 | Celeste Sargin | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2020-01-31 |
| 1245708882 | Jessica Milian | Marriage & Family Therapist | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2018-11-12 |
| 1376048033 | Rocio R Torres | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2018-03-26 |
| 1609374040 | Troy Huffman L.L.C. | Counselor | 6201 Pacific Ave Ste C3, Tacoma, WA 98408 | 2018-01-31 |
| 1124533294 | Juliette Knight | Social Worker | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2017-12-11 |
| 1316451669 | Charles Lavon Williams Jr. | Marriage & Family Therapist | 6201 Pacific Ave Ste C3, Tacoma, WA 98408-7423 | 2017-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194155 | Anthony Mueller | Marriage & Family Therapist | 6201 Pacific Ave Ste B12, Tacoma, WA 98408-7423 | 2020-01-31 |
| 1205477296 | Liberating Jasper LLC | Marriage & Family Therapist | 2133 Martin Luther King Jr Way, Tacoma, WA 98405-3839 | 2019-10-01 |
| 1093376766 | Nicole Denise Pullen-umhra | Marriage & Family Therapist | 4301 S Pine St Ste 30-08, Tacoma, WA 98409-9123 | 2019-06-24 |
| 1083139281 | Kayla Moore | Marriage & Family Therapist | 4141 6th Ave Ste C, Tacoma, WA 98406-4034 | 2017-08-08 |
| 1891162061 | Kelley Kohlwes | Marriage & Family Therapist | 1102 A St Ste 426, Tacoma, WA 98402-5011 | 2015-08-24 |
| 1063840791 | Savi Pllc | Marriage & Family Therapist | 621 Pacific Ave Ste 300, Tacoma, WA 98402-4611 | 2013-10-15 |
| 1912204223 | Renee Marie Johnson | Marriage & Family Therapist | 4324 A St, Tacoma, WA 98418-7722 | 2011-02-23 |
| 1326352436 | Alyssa Diane Hagmann | Marriage & Family Therapist | 2205 N 30th St Ste A, Tacoma, WA 98403-3320 | 2010-07-30 |
| 1083937379 | Toby Paul Estler | Marriage & Family Therapist | 3901 S Fife St Ste 301, Tacoma, WA 98409-7309 | 2010-03-01 |
| 1124205364 | Stephanie L Dann | Marriage & Family Therapist | 1944 Pacific Ave Ste 309, Tacoma, WA 98402-3121 | 2008-01-30 |
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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.