Active NPIIndividual provider

Kimberly Bennett

Counselor, Addiction (Substance Use Disorder) in Eugene, Oregon

NPI Number1104687797
Practice location
605 W 4TH Ave, Eugene, OR 97402-5022
Fax
—
Last updated
January 19, 2024

Kimberly Bennett is a Counselor, Addiction (Substance Use Disorder) based in Eugene, OR. The NPI number for Kimberly Bennett is 1104687797. The current practice location address is 605 W 4TH Ave, Eugene, OR 97402-5022 and the office can be reached by phone at 541-762-4575. The NPI was assigned on January 19, 2024 and the record was last updated in NPPES on January 19, 2024.

●Provider Profile Details

NPI Number
1104687797
Provider Name
Kimberly Bennett
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Enumeration Date
January 19, 2024
Last Update Date
January 19, 2024
Certification Date
January 19, 2024
NPI Status
Active

◉Business Practice Location Address

Address
605 W 4TH Ave
Eugene, OR 97402-5022
City
Eugene
State
Oregon
ZIP
97402-5022
Country
US
Phone Number
541-762-4575

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✉Business Mailing Address

Address
687 Cheshire Ave
Eugene, OR 97402-5060
City
Eugene
State
OR
ZIP
97402-5060

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Addiction (Substance Use Disorder)101YA0400XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kimberly Bennett?

The NPI number of Kimberly Bennett is 1104687797. It was assigned on January 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bennett?

Kimberly Bennett is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X).

Where does Kimberly Bennett practice?

The practice location is 605 W 4TH Ave, Eugene, OR 97402-5022. The office can be reached at 541-762-4575 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104687797 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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