Piedmont Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PIEDMONT WELLNESS

Practice address

11 Union St S Ste Ll209
Concord, NC 28025-5059

Phone

(919) 672-5005

NPI assigned

Nov 26, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Dashun Tyrell BanksNPI 1972821916

Title

Ceo

Phone

(919) 672-5005

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dashun Tyrell Banks, NCLPCBE

  • Counselor
  • Concord, NC
  • NPI 1972821916

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Krystina Bennett

  • Mental Health Counselor
  • Concord, NC
  • NPI 1417674524
  NPD

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1083576136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE LL209",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255059",
            "telephone_number": "919-672-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UNION ST S STE LL209",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255059",
            "telephone_number": "919-672-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DASHUN",
        "authorized_official_middle_name": "TYRELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-672-5005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Area MH, DD, and Sa Area Authority
• Piedmont Residential Development Center, Inc
• Piedmont Residential Development Center, Inc
• Piedmont Surgical Clinic, P.a.
• Piedmont Surgical Clinic, PA
• Pablo Piedra Prieto, DMD
• Carla Elizabeth Pierce, FNP
• Tammey Sue Pierce
• Tamara Beth Piggott, PA
• Jennifer L Pike, RD,CDCES

• Mental Health Counselor in Concord, NC
• Providers in Concord, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.