Individual provider Active NPI

Benita Lechell Thornhill, MA, LPC

  • Professional Counselor
  • Suffolk, VA
National Provider Identifier
1508148156
Registry record updated Oct 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12685 Issued in NC
Practice address
2112 Redgate Dr
Suffolk, VA 23434-1003
Phone
(757) 529-3189
Fax
(757) 432-3178
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-22940 NC
Professional Counselor 101YP2500X A12685 NC Primary

Addresses

Primary practice location

2112 Redgate Dr
Suffolk, VA 23434-1003

Mailing address

2112 Redgate Dr
Suffolk, VA 23434-1003
Phone (757) 529-3189

Other practice location 1

1013 Bullard Ct Ste 102
Raleigh, NC 27615-6801
Phone (910) 548-8533

Other practice location 2

638 Independence Pkwy Ste 240
Chesapeake, VA 23320-5222
Phone (757) 529-3189

Other practice location 3

200 Doctors Dr Ste J
Jacksonville, NC 28546
Phone (910) 546-8533

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCAS-22940NCMDAddiction (Substance Use Disorder) Counselor
A12685NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
The Clarity Center, LLC Professional CurrentSince Oct 11, 2020 Accepting new patients
Clarity and Comfort Home Care Current Accepting new patients
The Clarity Loft, PLLC Professional CurrentSince Jun 5, 2022 Accepting new patients

Locations

638 Independence Pkwy
Ste 240
Chesapeake, VA 23320
Phone (757) 529-3189

Interoperability endpoints

  • Direct secure messaging: benitathornhill@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1508148156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 REDGATE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341003",
            "telephone_number": "757-529-3189",
            "fax_number": "757-432-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 REDGATE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234341003",
            "telephone_number": "757-529-3189",
            "fax_number": "757-432-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Bullard Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156801",
            "country_code": "US",
            "telephone_number": "910-548-8533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "638 Independence Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205222",
            "country_code": "US",
            "telephone_number": "757-529-3189",
            "fax_number": "757-432-3178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Doctors Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "28546",
            "country_code": "US",
            "telephone_number": "910-546-8533",
            "fax_number": "855-754-8259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNHILL",
        "first_name": "BENITA",
        "middle_name": "LECHELL",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2020-10-03",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22940",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.