JENNIFER A BENNE (NPI# 1861666471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861666471 |
| Entity Type | Individual |
| Full Name | JENNIFER A BENNE |
| Credential | BEHAVIOR ANALYST |
| Practice Address |
507 E Armstrong Ave Peoria IL 61603-3201 |
| Mailing Address |
2401 W Alta Rd Apt 2706 Peoria IL 61615-4608 |
| Practice Telephone | 3096861177 |
| Mailing Telephone | 9545406858 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
507 E ARMSTRONG AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434795 | Easter Seals - Ucp | Voluntary or Charitable | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2005-11-14 |
| 1295347201 | Emily Kathleen Smith | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-08-20 |
| 1215561089 | Anne Kirchgessner | Nurse Practitioner | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-03-02 |
| 1568002202 | Megan Mcnamara | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2020-01-10 |
| 1184268286 | Kaitlyn Schlink | Occupational Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-10-31 |
| 1134770399 | Melissa Kay Reid | Behavioral Analyst | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-09-27 |
| 1871142703 | Molly Cull | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603 | 2019-09-04 |
| 1053964791 | Taylor Dayne Walden | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-07-22 |
| 1922664481 | Marie Javana Nelson | Developmental Therapist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-05-10 |
| 1295290930 | Cally Lynn Webb | Speech-Language Pathologist | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| 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 |
|---|---|---|---|---|
| 1346863628 | Az Synergy Counseling, LLC | Counselor | 20835 N 98th Ave, Peoria, AZ 85382-5100 | 2020-05-21 |
| 1689201584 | Denise Zadwarny | Counselor | 8538 W Lawrence Ln, Peoria, AZ 85345-2537 | 2020-03-23 |
| 1073066155 | Caroline Vanaman | Counselor | 221 Ne Glen Oak Ave # 7w, Peoria, IL 61636-0001 | 2016-07-26 |
| 1952756199 | Bethany Rosenfeld | Counselor | 13460 N 94th Dr Ste K3, Peoria, AZ 85381-4249 | 2016-04-25 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1326476482 | Melissa A Shane | Counselor | 3020 W. Willow Knolls Drive, Peoria, IL 61614-1002 | 2013-10-28 |
| 1538400197 | Lindsy Redman | Counselor | 15396 N 83rd Ave Ste G103, Peoria, AZ 85381-5629 | 2013-03-07 |
| 1225398415 | Curt Meiss | Counselor | 914 W Glen Ave Ste 3, Peoria, IL 61614-4886 | 2012-05-21 |
| 1912204066 | Susan J Luiten | Counselor | 7031 N Patton Ln, Peoria, IL 61614-1918 | 2011-02-24 |
| 1104141688 | Kelly L Lenz | Counselor | 2603 S High Meadow Dr, Peoria, IL 61607-1415 | 2010-03-29 |
| Find all providers in PEORIA | ||||
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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.