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Deactivated NPI 1538201090 Deactivated / Inactive NPI Male Practitioner

Michael Gordon Bennett , BS

Counselor • Puyallup, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 13, 2007
NPI Deactivation Date September 30, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Michael Bennett, BS was a registered Counselor practicing in Puyallup, WA. Throughout an active medical career spanning 15 years, Michael Bennett provided care at the practice location at 325 E PIONEER until profile deactivation on 2022-09-30.

Practice Location & Contact Primary Location

Practice Address

325 E Pioneer

Puyallup, WA 983723265

Telephone 2536978400
Fax 2536978590
Associated Practice Facility / Clinic
🏢 Multicare Health Systems Facility NPI 1548565393

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
198 Specialists

Practicing in Puyallup, WA (11556 Statewide)

Telehealth Adoption Rate
0.5% 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA RC00023003

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Rashaun Renggli

Counselor - Mental Health

NPI 1003048984
Laurel Holden

Counselor - Mental Health

NPI 1003132770
Michael Pinatiello

Counselor - Mental Health

NPI 1003141060
Melissa Romans

Counselor - Mental Health

NPI 1003142191
Rebecca Stoker

Counselor - Mental Health

NPI 1003217589
Jordan Mccann , MA

Counselor - Mental Health

NPI 1003363706

Master of Arts

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 30, 2022

Record deactivated on September 30, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978400)

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Updated Business Mailing Address July 08, 2007

Registered at 325 E PIONEER, PUYALLUP, WA 983723265 (Tel: 2536978400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BENNETT, BS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #RC00023003 in WA)

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Initial NPI Registration & Enumeration February 13, 2007

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: 1538201090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2007
Last Update: July 08, 2007
Deactivation Date: September 30, 2022

Mailing Address

325 E Pioneer

Puyallup, WA 983723265

Phone: 2536978400

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.