Individual provider Active NPI

David C Banner, LPC, LMFT

  • Mental Health Counselor
  • Manassas, VA
National Provider Identifier
1235248923
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701001693 Issued in VA
Practice address
8401 Dorsey Cir Ste 201
Manassas, VA 20110-8303
Phone
(703) 330-5155
Fax
(703) 330-5925
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701001693 VA Primary

Addresses

Primary practice location

8401 Dorsey Cir Ste 201
Manassas, VA 20110-8303

Mailing address

8401 Dorsey Cir Ste 201
Manassas, VA 20110-8303
Phone (703) 330-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240613003934 VA Practitioner - Mental Health Counselor 5092161646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8401 Dorsey Cir
Suite 201
Manassas, VA 20110-8303
Phone (703) 330-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701001693VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, LLC Mental Health CurrentSince Apr 3, 2024 Accepting new patients

Locations

8401 Dorsey Cir
Ste 201
Manassas, VA 20110
Phone (703) 330-5155

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1235248923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DORSEY CIR STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108303",
            "telephone_number": "703-330-5155",
            "fax_number": "703-330-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DORSEY CIR STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108303",
            "telephone_number": "703-330-5155",
            "fax_number": "703-330-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNER",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701001693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.