Dana Bennison, LCMHC
Individual provider Active NPI Mental Health Counselor · Carrboro, NC
NPI 1376984641 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1376984641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12007 (NC)
- Practice address
- 301 W Weaver St
Carrboro, NC 27510-2021 - Phone
- (919) 914-0388
- NPI assigned
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 19, 2024 through Feb 19, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12007 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Oak, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12007 | NC | Yes |
Addresses
Primary practice location
301 W Weaver St
Carrboro, NC 27510-2021
Mailing address
301 W Weaver St
Carrboro, NC 27510-2021
Other providers in Carrboro, NC
- Brian R Beatty
- Sylvia I Becker-Dreps
- Pamela Francine Beiler
- Judith B Belch
- Donna Christine Bell
- Carley Brown Berolzheimer
- Mary Beth Biedenbach
- Devon Biller
- Gregory Boheler
- Kaitlyn Nicole Boigner
All providers in Carrboro, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.