Active NPI
Dashun Tyrell Banks, NCLPCBE
- Counselor
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11 Union St S # Ll207
Concord, NC 28025-5059 - Phone
- (919) 672-5005
- Fax
- (800) 806-0750
- NPI assigned
- May 14, 2010
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
11 Union St S # Ll207
Concord, NC 28025-5059
Mailing address
100 Lincoln Rd Apt 921
Miami Beach, FL 33139-2013
Phone (919) 672-5005
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | assured79@hotmail.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Union St S
Concord, NC 28025-5059
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11384 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Wellness | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Clinicians of Mecklenburg | Counselor | Current | Accepting new patients |
Locations
525 N Tryon St
Charlotte, NC 28202
Phone (704) 559-2069
11 Union St S
Ste 207
Concord, NC 28025
Phone (919) 407-1855
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.
-
- Mental Health Counselor
- Concord, NC
- NPI 1083576136
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- Concord, NC
- NPI 1174099436
-
- Mental Health Counselor
- Miami, FL
- NPI 1982227070
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1215552559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1972821916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LINCOLN RD APT 921",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392013",
"telephone_number": "919-672-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 UNION ST S # LL207",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255059",
"telephone_number": "919-672-5005",
"fax_number": "800-806-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "DASHUN",
"middle_name": "TYRELL",
"name_prefix": "Mr.",
"credential": "NCLPCBE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-14",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "assured79@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "11 Union St S # Ll207",
"city": "Concord",
"state": "NC",
"country_code": "US",
"postal_code": "280255059",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.