Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881468643 Individual Practitioner Male Practitioner

Elijah Bennett

Peer Specialist • Port Huron, MI

Professional Overview & Biography Verified Profile Summary

Elijah Bennett is a registered healthcare professional specializing in Peer Specialist in Port Huron, MI. Practice services are available at 617 10TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

617 10th St

Port Huron, MI 480604406

Telephone 8108581931
Associated Practice Facility / Clinic
🏢 Bwroc Inc Facility NPI 1114509783

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Port Huron, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
70 Specialists

Practicing in Port Huron, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Nichole Bickel

Peer Specialist

NPI 1679347439

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2023

Registered at 617 10TH ST, PORT HURON, MI 480604406 (Tel: 8108581931)

📍
Updated Business Mailing Address November 13, 2023

Registered at 617 10TH ST, PORT HURON, MI 480604406

👤
Provider Name / Credentials Updated November 13, 2023

Recorded as ELIJAH BENNETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881468643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2023
Last Update: November 13, 2023
Sole Proprietor: No

Mailing Address

617 10th St

Port Huron, MI 480604406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.