Individual provider Active NPI

Benita Edrena Lewis, PHD, LCMHC, NCC

  • Mental Health Counselor
  • Burlington, NC
National Provider Identifier
1063158707
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14214 Issued in NC
Practice address
4108 Alamance Rd # 5
Burlington, NC 27215-9391
Phone
(336) 706-0391
NPI assigned
May 6, 2022
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A14214 NC Primary

Addresses

Primary practice location

4108 Alamance Rd # 5
Burlington, NC 27215-9391

Mailing address

1001 NC Highway 61 Unit 201
Whitsett, NC 27377-0139
Phone (336) 706-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716000762 NC Practitioner - Mental Health Counselor 5395280267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4108 Alamance Rd
Suite 5
Burlington, NC 27215-9391
Phone (336) 706-0391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A14214NCMDMental Health Counselor
14214NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
B Lewis Counseling & Consulting PLLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

1001 NC Highway 61
Unit 201
Whitsett, NC 27377

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1063158707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NC HIGHWAY 61 UNIT 201",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273770139",
            "telephone_number": "336-706-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 ALAMANCE RD # 5",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159391",
            "telephone_number": "336-706-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BENITA",
        "middle_name": "EDRENA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.