Active NPI
Dennis G. Mendleson, L.P.C.S., A.C.H.
- Mental Health Counselor
- Wilmington, NC
National Provider Identifier
1093838682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8352
- Practice address
- 6316 Strawfield Dr
Wilmington, NC 28405-3779 - Phone
- (513) 885-6365
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8352 | NC | Primary |
| Professional Counselor | 101YP2500X | E 0002213 | OH |
Addresses
Primary practice location
6316 Strawfield Dr
Wilmington, NC 28405-3779
Mailing address
6316 Strawfield Dr
Wilmington, NC 28405-3779
Phone (513) 885-6365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104768 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E 0002213 | OH | MD | Professional Counselor |
| 8352 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1093838682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 STRAWFIELD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053779",
"telephone_number": "513-885-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6316 STRAWFIELD DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284053779",
"telephone_number": "513-885-6365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDLESON",
"first_name": "DENNIS",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "L.P.C.S., A.C.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8352",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E 0002213",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104768",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.