MR. JEFFREY L BENNETT (NPI# 1740214089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740214089 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY L BENNETT |
| Credential | LCSW |
| Practice Address |
1600 Broad Ave Gulfport MS 39501-3603 |
| Practice Telephone | 2288631132 |
| Practice Fax Number | 2288651700 |
| Mailing Telephone | 2288631132 |
| Mailing Fax Number | 2288651700 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C0580 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094346 | Jeffrey Bennett | Counselor | 3210 E 44th Ave, Apartment K-106, Spokane, WA 99223-7709 | 2013-11-14 |
| 1124462924 | Jeffrey Paul Bennett | Dentist | 9115 45th Ave Ne, Seattle, WA 98115 | 2013-04-23 |
| 1003149444 | Jeffrey R Bennett Jr. | Physical Therapist | 506 E Southway Blvd, Kokomo, IN 46902 | 2009-09-17 |
| 1578563839 | Jeffrey E Bennett | Pediatrics | 4687 Pouncey Tract Rd, Glen Allen, VA 23059-5802 | 2005-07-28 |
| 1811472418 | Jeffrey Scott Bennett | Counselor | 2029 Buchanan St, North Kansas City, MO 64116-3405 | 2018-09-28 |
| 1730575648 | Jeffrey Bennett | Physical Therapist | 533 S Middleton Rd, Ste 100, Middleton, ID 83644-6013 | 2015-04-08 |
| 1740675909 | Jeffrey S Bennett | Pediatrics | 700 Children's Drive, Nationwide Children's Hospital, Columbus, OH 43205 | 2015-04-03 |
| 1043581754 | Jeffrey Bennett | Specialist/Technologist | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2012-01-26 |
| 1831481837 | Jeffrey A Bennett | Pharmacist | 8101 Fayetteville Rd, Raleigh, NC 27603-5635 | 2011-05-09 |
| 1477684371 | Jeffrey K Bennett | Counselor | 1060 Glensboro Rd, Lawrenceburg, KY 40342-9033 | 2007-03-09 |
| Street Address |
1600 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1043811839 | Kathy Ulland | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-11-06 |
| 1508463357 | Nicole Brown | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1407453376 | Brian Weber | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1457958639 | Krysten Vagedes | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-01 |
| 1184239436 | Yeinil Guzman | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-14 |
| 1972117216 | Nicole Hymel | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-03 |
| 1053921668 | Dana Alexis Mixon | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-08-07 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396376257 | Jimmy Glenn Doolittle | Counselor | 1520 29th Ave Ste Gulfport, Gulfport, MS 39501-2843 | 2020-01-30 |
| 1902395361 | Bolt Counseling Services | Counselor | 1921 24th Ave, Gulfport, MS 39501-2976 | 2018-05-01 |
| 1669979977 | Georgianna Dorch | Counselor | 2224 24th Ave, Gulfport, MS 39501-4603 | 2018-04-12 |
| 1033622766 | Casey Dodd Bearss | Counselor | 1520 29th Ave Ste 25, Gulfport, MS 39501-2843 | 2017-11-16 |
| 1528467768 | Kari Rusnak | Counselor | 1285 Spring St Ste B, Gulfport, MS 39507-3423 | 2014-08-13 |
| 1194014787 | Carolyn W White Bell | Counselor | 15012 Swan Lake Pl, Gulfport, MS 39503-8295 | 2011-04-04 |
| 1881922276 | Phyllis G. Falcon | Counselor | 205 Ridgeway Dr, Gulfport, MS 39507-3920 | 2009-11-24 |
| 1609101088 | Richard Strebeck | Counselor | 11201 Old Highway 49, Gulfport, MS 39503-4143 | 2009-10-02 |
| 1740329200 | Jane Desern Carey | Counselor | 2413 23rd Ave, Gulfport, MS 39501-4616 | 2007-02-05 |
| 1770502239 | Carol Buchanan Jones | Counselor | 1856 Beach Dr, Psychology and Counseling, Gulfport, MS 39507-1508 | 2006-07-18 |
| Find all providers in GULFPORT | ||||
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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.