DR. BENJAMIN THOMAS LACKEY (NPI# 1659654960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659654960 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN THOMAS LACKEY |
| Credential | PHD. |
| Practice Address |
18225 Detroit Ave Suite 106 Lakewood OH 44107-3321 |
| Practice Telephone | 3306357450 |
| Practice Fax Number | 8154176462 |
| Mailing Telephone | 3306357450 |
| Mailing Fax Number | 8154176462 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
OH | Behavioral Health & Social Service Providers |
| Street Address |
18225 DETROIT AVE SUITE 106 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457569089 | Nadine Ann Swahnberg | Counselor | 1458 S Ward St, Lakewood, CO 80228-3870 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143180 | Phillip Mendoza Jr | Counselor | 195 Edward Ave, Akron, OH 44310-1957 | 2020-10-30 |
| 1174121214 | Andrew Clark Oswalt | Counselor | 45 Oakland Park Ave, Columbus, OH 43214-4119 | 2020-10-12 |
| 1477167674 | Jessica A Buttari | Counselor | 9980 Knollwood Ridge Dr, Mentor, OH 44060-6517 | 2020-09-04 |
| 1376151324 | Lurenna Obey | Counselor | 3499 Hiawatha St, Columbus, OH 43224-3349 | 2020-07-15 |
| 1285260729 | Beverly Crump | Counselor | 4889 Sinclair Rd Ste 215, Columbus, OH 43229-5434 | 2020-03-17 |
| 1225685506 | David Adams | Counselor | 3704 Walton Ave, Cleveland, OH 44113-4917 | 2019-08-21 |
| 1174081095 | John Benjamin David Tatum | Counselor | 99 Dawson Avenue, Back Door @ Top of W/c Ramp, Mansfield, OH 44906-3201 | 2019-03-10 |
| 1295225894 | Rhonda Beal | Counselor | 840 Suire Ave, Cincinnati, OH 45205-1639 | 2018-05-18 |
| 1972017697 | Melvin Dennis Trent Sr. | Counselor | 2007 S Schenley Ave, Youngstown, OH 44511-1262 | 2017-11-17 |
| 1083126593 | Dean Christopher Kavouras | Counselor | 5948 W 24th St, Cleveland, OH 44134-3003 | 2017-10-25 |
| Find all providers with the same taxonomy | ||||
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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.