Individual provider Active NPI

Benjamin Dahl

  • Professional Counselor
  • Lambertville, MI
National Provider Identifier
1477367365
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451023677 Issued in MI
Practice address
6530 Secor Rd Ste 10
Lambertville, MI 48144-9456
Phone
(734) 854-7061
NPI assigned
Feb 3, 2025
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6451023677 MI Primary

Addresses

Primary practice location

6530 Secor Rd Ste 10
Lambertville, MI 48144-9456

Mailing address

18991 Sandborn Rd
Manchester, MI 48158-9610
Phone (734) 428-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18991 Sandborn Rd
Manchester, MI 48158-9610

7444 Dexter Ann Arbor Rd
Suite J
Dexter, MI 48130-1468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023677MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Upper Room Professional Counseling Services PLLC Professional CurrentSince Feb 9, 2025 Accepting new patients
Renew Hope Counseling LLC Professional CurrentSince Oct 1, 2025 Accepting new patients
Christian Care Connection LLC Professional PastSince Dec 26, 2023 Accepting new patients

Locations

221 N Sheldon Rd
Plymouth, MI 48170
Phone (734) 459-3930

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1477367365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18991 SANDBORN RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589610",
            "telephone_number": "734-428-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SECOR RD STE 10",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449456",
            "telephone_number": "734-854-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lambertville, MI

Sources for this page

Verify at the official NPI Registry.