BENJAMIN BENNER (NPI# 1780174987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780174987 |
| Entity Type | Individual |
| Full Name | BENJAMIN BENNER |
| Credential | CDCA, QMHS |
| Practice Address |
1071 Tong Hollow Rd Bainbridge OH 45612-1500 |
| Mailing Address |
401 E Mcmillan St Cincinnati OH 45206-1922 |
| Practice Telephone | 7406343094 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137967 | Benjamin G. Benner | Neurological Surgery | 6767 S Yale Ave, Suite A, Tulsa, OK 74136-3302 | 2005-10-07 |
| Street Address |
1071 TONG HOLLOW RD |
| City | BAINBRIDGE |
| State | OH |
| Zip Code | 45612-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053389841 | Lighthouse Youth Services Inc. | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-9421 | 2006-03-09 |
| 1104427772 | Kasaundra Tolle | Social Worker | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-11-02 |
| 1245831825 | Ashley Norman | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-11-02 |
| 1134736416 | Rosalie Renae King | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-09-30 |
| 1881207835 | Joshua Leach | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-08-28 |
| 1790398733 | Angela Gomez | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-08-28 |
| 1710590237 | Tyrand Lee Cumberland | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-08-25 |
| 1699388348 | Christopher Dean Hill Jr. | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-08-24 |
| 1720697543 | Adam Niday | Social Worker | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-07-28 |
| 1033736194 | Kenneth Kuhns | Case Manager/Care Coordinator | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396925 | Brielle Lauren Hoagland | Speech-Language Pathologist | 7454 Us Route 50, Bainbridge, OH 45612 | 2019-09-25 |
| 1942850755 | Carehere LLC | Family Medicine | Carehere Clinic- Scioto Advantage North, 7454 Us Highway 50w, Bainbridge, OH 45612 | 2019-09-13 |
| 1386166957 | Cory Christine Curtis | Home Health | 7400 West Road Lot 2, Bainbrigde, OH 45612 | 2017-07-14 |
| 1730300906 | Randy Allen White | Exclusive Provider Organization | 212 West Third Streeet, 212 West Third Street, Bainbridge, OH 45612 | 2007-05-02 |
| 1689700064 | Loretta Mae Penwell | Licensed Practical Nurse | 212 North Mountain Street, Box 374, Bainbridge, OH 45612 | 2007-02-27 |
| 1174552392 | Thi of Ohio At Maple View LLC | Skilled Nursing Facility | 430 South Maple St, Bainbridge, OH 45612 | 2006-07-01 |
| 1740350032 | Shawn Scott Lunde | Chiropractor | 132 Main St., Suite B, Bainbridge, OH 45612 | 2006-11-08 |
| 1588674154 | Casey Ryan Mcfadden | Pharmacist | 115 E Main St, Bainbridge, OH 45612 | 2006-08-08 |
| 1073700431 | Earley & Ross of Ross County,llc | Skilled Nursing Facility | 430 South Maple Street, Bainbridge, OH 45612-0508 | 2007-10-01 |
| 1194735720 | Knisley Pharmacy Limited | Durable Medical Equipment & Medical Supplies | 115 E Main St, Bainbridge, OH 45612-1102 | 2006-08-08 |
| Find all providers in zip 45612 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214052 | Serendipity Counseling & Consulting Agency | Counselor | 1235 E Shotwell St, Bainbridge, GA 39819-4237 | 2019-06-17 |
| 1427485036 | Marty Dewayne Brock | Counselor | 214 Prosperity Church Rd, Bainbridge, GA 39817-8278 | 2013-09-27 |
| 1053389841 | Lighthouse Youth Services Inc. | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-9421 | 2006-03-09 |
| 1730718677 | John Orr | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-04-03 |
| 1386274934 | Tracy Elizabeth Rice | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2020-01-23 |
| 1447814967 | Tyeisha Cousins | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2019-04-30 |
| 1215409677 | William C Bryant | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2018-12-26 |
| 1710472618 | James Colburn | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2018-06-25 |
| 1356834964 | Darren Stanforth | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2018-06-08 |
| 1366934713 | Paul Penwell | Counselor | 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | 2018-06-01 |
| Find all providers in BAINBRIDGE | ||||
| City | BAINBRIDGE |
| Zip Code | 45612 |
Please comment or provide details below to improve the information on BENJAMIN BENNER.
| 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.