Active NPI
Benjamin Boone Jr., MSW,LCSWA,LCASA
- Counselor
- Durham, NC
National Provider Identifier
1194618496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PO20196
- Practice address
- 249 NC-54 Ste 320,
Durham, NC 27701 - Phone
- (919) 907-3334
- NPI assigned
- Jun 3, 2025
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 29395 | NC | |
| Counselor | 101Y00000X | PO20196 | NC | Primary |
Addresses
Primary practice location
249 NC-54 Ste 320,
Durham, NC 27701
Mailing address
1017 Yellow Birch Dr
Cary, NC 27519-7433
Phone (718) 964-7267
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 |
|---|---|---|---|
| PO20196 | NC | MD | Counselor |
| 29395 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1194618496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 YELLOW BIRCH DR",
"city": "CARY",
"state": "NC",
"postal_code": "275197433",
"telephone_number": "718-964-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 NC-54 STE 320,",
"city": "DURHAM",
"state": "NC",
"postal_code": "27701",
"telephone_number": "919-907-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW,LCSWA,LCASA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "29395",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "PO20196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.