Individual provider Active NPI

Bani'Ci' Nicosi'a Townsend-Harrison, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1649944844
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5014990 Issued in NC
Practice address
206 W Lake Rd
Suite C
Creedmoor, NC 27522
Phone
(919) 368-6318
Fax
(919) 980-9321
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 271633 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014990 NC Primary

Addresses

Primary practice location

206 W Lake Rd
Suite C
Creedmoor, NC 27522

Mailing address

PO Box 368
Butner, NC 27509-0368
Phone (919) 529-2474

Other practice location 1

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Phone (657) 237-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224002504 NC Practitioner - Nurse Practitioner 8123412749 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014990NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Mental Health Specialty Group PA CurrentSince May 2, 2025 Accepting new patients
Storyfinders in Wellness, LLC CurrentSince Jul 13, 2025 Accepting new patients
Innovative Behavioral Health Services P.C. Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Landmark Medical of North Carolina PC CurrentSince Jul 17, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Sep 25, 2024 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Nov 14, 2022 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Nov 14, 2022 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

402 N Main St
Creedmoor, NC 27522
Phone (919) 529-2474

206 Lake Rd
Ste C
Creedmoor, NC 27522
Phone (919) 368-6318

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

2645 Meridian Pkwy
Ste 323
Durham, NC 27713
Phone (984) 227-8902

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

Interoperability endpoints

  • Direct secure messaging: ms_btowns13@landmarkhealth-direct.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1649944844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275090368",
            "telephone_number": "919-529-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W LAKE RD",
            "address_2": "SUITE C",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-368-6318",
            "fax_number": "919-980-9321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 Meridian Pkwy Ste 323",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277134232",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND-HARRISON",
        "first_name": "BANI'CI'",
        "middle_name": "NICOSI'A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "271633",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.