Ronilyn Bentley
Individual provider Active NPI Mental Health Counselor · Clayton, NC
NPI 1083544902 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1083544902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A22903 (NC)
- Practice address
- 604 E Front St Unit 843
Clayton, NC 27528-0237 - Phone
- (480) 205-7304
- NPI assigned
- May 21, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A22903 | NC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A22903 | NC | Yes |
Addresses
Primary practice location
604 E Front St Unit 843
Clayton, NC 27528-0237
Mailing address
604 E Front St Unit 843
Clayton, NC 27528-0237
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All providers in Clayton, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.