Active NPI
Reginald Bennette
- Addiction (Substance Use Disorder) Counselor
- Salinas, CA
National Provider Identifier
1316372196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R56556 RS
- Practice address
- 338 Monterey St
Salinas, CA 93901-3411 - Phone
- (831) 424-6655
- Fax
- (831) 424-9717
- NPI assigned
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R56556 RS | CA | Primary |
Addresses
Primary practice location
338 Monterey St
Salinas, CA 93901-3411
Mailing address
338 Monterey St
Salinas, CA 93901-3411
Phone (831) 424-6655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HDC70035F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R56556 RS | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1316372196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MONTEREY ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013411",
"telephone_number": "831-424-6655",
"fax_number": "831-424-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 MONTEREY ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013411",
"telephone_number": "831-424-6655",
"fax_number": "831-424-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETTE",
"first_name": "REGINALD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R56556 RS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HDC70035F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.