C. Dwight Bain, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH3247 Issued in FL

Practice address

1850 Lee Rd
Ste 250
Winter Park, FL 32789-2116

Phone

(407) 647-7005

Fax

(407) 647-8874

NPI assigned

Dec 7, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Lifeworks Group, Inc.

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1568762409
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1649548421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LEE RD",
            "address_2": "STE 250",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892116",
            "telephone_number": "407-647-7005",
            "fax_number": "407-647-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD",
            "address_2": "STE 250",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892116",
            "telephone_number": "407-647-7005",
            "fax_number": "407-647-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "C.",
        "middle_name": "DWIGHT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bahareh Bagloo, MD
• Muhannad Bahrami, M.D.
• Khadijah Bailey
• Stephen William Bailey, LMHC
• Tracey Bailey, LMHC
• Courtney Baird
• Rohini Bajaj, MD
• Sandeep Bajaj, M.D.
• Tanya N Bajgier
• Brittany Ann Baker, DMD

• Mental Health Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.