Active NPI
Marlon Bentley Price Jr., LCMHC
- Mental Health Counselor
- Lexington, NC
National Provider Identifier
1740720663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12654
- Practice address
- 820 Grimes Blvd
Lexington, NC 27292-7640 - Phone
- (336) 543-0436
- NPI assigned
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12654 | NC | |
| Mental Health Counselor | 101YM0800X | 12654 | NC | Primary |
Addresses
Primary practice location
820 Grimes Blvd
Lexington, NC 27292-7640
Mailing address
124 Canterbury Rd
Reidsville, NC 27320-8317
Phone (336) 543-0436
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A12654 | NC | MD | Professional Counselor |
| 12654 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1588067367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1740720663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CANTERBURY RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208317",
"telephone_number": "336-543-0436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 GRIMES BLVD",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "272927640",
"telephone_number": "336-543-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MARLON",
"middle_name": "BENTLEY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-24",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12654",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "12654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.