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MR. BENJAMIN K BENTLEY LCAS, LCMHCS
NPI 1013920784
Counselor - Professional in Lewisville, NC

Active since August 14, 2006Opted out of Medicare · through May 10, 2028
6614 SHALLOWFORD RD STE 250, LEWISVILLE, NC 27023(336) 945-0137(336) 946-9084 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Benjamin K Bentley Lcas, Lcmhcs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN K BENTLEY LCAS, LCMHCS (NPI 1013920784) is an individual professional provider in Lewisville, North Carolina, licensed in North Carolina (4754) and active in the NPI registry since August 2006. He has opted out of Medicare through May 10, 2028.

NPPES Registry Identity

NPI1013920784
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BENJAMIN K BENTLEYCredential: LCAS, LCMHCS
Location Address6614 SHALLOWFORD RD STE 250Lewisville, NC 27023-9305
Mailing Address5335 Robinhood Village Dr Ste 155Winston Salem, NC 27106-9820 · (336) 905-9532
Phone(336) 945-0137
Fax(336) 946-9084
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateJuly 24, 2023
NPPES CertifiedJuly 24, 2023
✔ NPI 1013920784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 4754
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 685 (NC)
6614 SHALLOWFORD RD STE 250, Lewisville, NC 27023
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Other Identifiers 1

Medicaid6102194NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Benjamin K Bentley Lcas, Lcmhcs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2024 through May 10, 2028.

Opt-Out Effective DateMay 10, 2024
Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ARIANNE J'NAE BROADNAX LPC-A
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
ABBEY LEFKO LCMHCA
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
KERVINS CLEMENT LCMHCAS
Counselor (Addiction (Substance Use Disorder))
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
MR. ANTOINE J CHARLES LCAS
Counselor (Addiction (Substance Use Disorder))
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
KAYLA CARUSO LCMHCA
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
EMILY COMPTON
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
MRS. TANYA DEPETRIS
Counselor (Mental Health)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137
ROBYN NOFTLE LCSW
Social Worker (Clinical)
6614 SHALLOWFORD RD STE 250
LEWISVILLE, NC 27023
Forsyth County (336) 945-0137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Bentley's NPI number?

The NPI number for Benjamin Bentley is 1013920784. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Benjamin Bentley located?

Benjamin Bentley practices at 6614 Shallowford Rd Ste 250, Lewisville, NC 27023. The listed phone number is (336) 945-0137.

What is Benjamin Bentley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Benjamin Bentley enrolled in Medicare?

No. Benjamin Bentley has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Benjamin Bentley accept?

Health plans from Blue Cross and Blue Shield of NC list Benjamin Bentley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Bentley was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.