Katherine Bender, LCMHCA

Individual provider Active NPI Mental Health Counselor · Cameron, NC

NPI 1114672862 · NPPES record last updated Feb 21, 2022

Key facts

NPI
1114672862
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A17317 (NC)
Practice address
35 Plantation Dr Ste 100B
Cameron, NC 28326-9430
Phone
(910) 716-8006
Fax
(888) 972-8390
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A17317NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Verna Dority, MSW, CCSW, Inc Current
since Feb 27, 2022
Accepting new patients

Locations

35 Plantation Dr
Ste 100B
Cameron, NC 28326
Phone (910) 302-6672

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17317 NC Yes

Addresses

Primary practice location

35 Plantation Dr Ste 100B
Cameron, NC 28326-9430

Mailing address

PO Box 9909
Fayetteville, NC 28311-9094

Other providers in Cameron, NC

All providers in Cameron, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.