Benjamin Michael Dally, L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180007749 Issued in IL

Practice address

800 Roosevelt Road BLDG E
Ste 410, #8
Glen Ellyn, IL 60137-5839

Phone

(630) 216-9201

NPI assigned

Mar 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kainos Center for Ecclesial Psychology, Inc

  • Community/Behavioral Health Agency
  • Wheaton, IL
  • NPI 1477337145
  NPD Authorized official
• Kainos Counseling and Consultation, PLLC

  • Community/Behavioral Health Agency
  • Glen Ellyn, IL
  • NPI 1497539266
  NPD Authorized official
• Steeple Counseling LLC

  • Professional Counselor
  • Arlington Heights, IL
  • NPI 1023504628
  Medicare reassignment

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1639444573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W068 JEWELL RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873931",
            "telephone_number": "253-223-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT ROAD BLDG E",
            "address_2": "STE 410, #8",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375839",
            "telephone_number": "630-216-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Anthony St",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601374468",
            "country_code": "US",
            "telephone_number": "630-866-7161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26W068 Jewell Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601873931",
            "country_code": "US",
            "telephone_number": "253-223-5468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLY",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaulee Kaye Curtis, MA
• Heather Cushing, MD
• Isabella Dahlheimer, LSW
• Suzanne Daines I
• Dalia Psychotherapy
• Daniel G Danahey, MD, PHD
• Abigail Daugette
• DBX Medical LLC
• Katherine Deblinger
• Norman Matthew Decker, M.D.

• Mental Health Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.