Active NPI
Henri Edward Bennette, PSYCHOLOGY/BEHAVIORA
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
National Provider Identifier
1891900098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 260-426-7234
- Practice address
- Pmb462 Ste a 231 E. Alessandro Blvd
Suite a
Riverside, CA 92508-0000 - Phone
- (951) 955-0842
- Fax
- (951) 955-8542
- NPI assigned
- May 11, 2007
- 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 | 260-426-7234 | IN | Primary |
Addresses
Primary practice location
Pmb462 Ste a 231 E. Alessandro Blvd
Suite a
Riverside, CA 92508-0000
Mailing address
3933 10TH St
Riverside, CA 92501
Phone (951) 328-2283
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AB21064 | Other | CLINICAL CRIMINAL JUSTICE DOMESTIC VIOLENCE COUSELOR MASTER ADDICTION COUSELOR | |
| 260-426-7234 | Other | NATIONAL ASSOCIATION OF FORENSIC COUNSELOR |
Other names 1
- Mr. Henry Edward Bennett
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 |
|---|---|---|---|
| 260-426-7234 | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1891900098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 10TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92501",
"telephone_number": "951-328-2283",
"fax_number": "651-684-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PMB462 STE A 231 E. ALESSANDRO BLVD",
"address_2": "SUITE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925080000",
"telephone_number": "951-955-0842",
"fax_number": "951-955-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETTE",
"first_name": "HENRI",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PSYCHOLOGY/BEHAVIORA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "260-426-7234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL CRIMINAL JUSTICE DOMESTIC VIOLENCE COUSELOR MASTER ADDICTION COUSELOR",
"identifier": "AB21064",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ASSOCIATION OF FORENSIC COUNSELOR",
"identifier": "260-426-7234",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HENRY",
"last_name": "BENNETT",
"middle_name": "EDWARD",
"prefix": "MR.",
"credential": "PSYCHOLOGY",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.