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NICOLE MARIE BENNETT CDCA.179664
NPI 1992302921
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since October 02, 2020
2121 W 117TH ST, CLEVELAND, OH 44111(216) 417-4831(216) 417-0040 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2022, Nov 2, 2020, Oct 2, 2020 (3 updates tracked since 2020).

About Nicole Marie Bennett Cdca.179664 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE BENNETT CDCA.179664 (NPI 1992302921) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (CDCA.179664) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1992302921
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE MARIE BENNETTCredential: CDCA.179664
Location Address2121 W 117TH STCleveland, OH 44111-1642
Mailing Address3801 Denison AveCleveland, OH 44109-2630 · (216) 417-4831 · Fax (216) 417-0040
Phone(216) 417-4831
Fax(216) 417-0040
Sole ProprietorYes
Enumeration DateOctober 2, 2020
Last NPPES UpdateApril 20, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1992302921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.179664
2121 W 117TH ST, Cleveland, OH 44111
Open in Google Maps ↗

Other Identifiers 1

Medicaid0424123OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAFAEL ANTONIO CORREA JR. LCDC III, CAP, ICADC
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
LINDA JEAN WELLS
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
MARK A STURDIVANT
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
KELLY WILLIAMS
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
KATHRYN LIEBERTH
Peer Specialist
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
FLORESTINE PLAIR LICDC
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
B. RILEY SOBER HOUSE
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831
MELISSA WILLIAMSON
Counselor (Addiction (Substance Use Disorder))
2121 W 117TH ST
CLEVELAND, OH 44111
Cuyahoga County (216) 417-4831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Bennett's NPI number?

The NPI number for Nicole Bennett is 1992302921. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Where is Nicole Bennett located?

Nicole Bennett practices at 2121 W 117th St, Cleveland, OH 44111. The listed phone number is (216) 417-4831.

What is Nicole Bennett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Bennett was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.