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BENJAMIN MICHAEL DALLY L.C.P.C.
NPI 1639444573
Counselor - Mental Health in Glen Ellyn, IL

Active since March 10, 2012PECOS Enrolled
800 ROOSEVELT ROAD BLDG E, STE 410, #8, GLEN ELLYN, IL 60137(630) 216-9201 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, Aug 23, 2023 (2 updates tracked since 2023).

About Benjamin Michael Dally L.c.p.c. NPPES

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

BENJAMIN MICHAEL DALLY L.C.P.C. (NPI 1639444573) is an individual mental health provider in Glen Ellyn, Illinois, licensed in Illinois (180007749) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639444573
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN MICHAEL DALLYCredential: L.C.P.C.
Location Address800 ROOSEVELT ROAD BLDG E, STE 410, #8Glen Ellyn, IL 60137-5839
Mailing Address26w068 Jewell RdWheaton, IL 60187-3931 · (253) 223-5468
Phone(630) 216-9201
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 10, 2012
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1639444573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180007749
800 ROOSEVELT ROAD BLDG E, Glen Ellyn, IL 60137
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Michael Dally L.c.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082181789
PECOS Enrollment IDI20260430002018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Dally's NPI number?

The NPI number for Benjamin Dally is 1639444573. It was assigned to this individual provider in the NPPES registry on March 10, 2012.

Where is Benjamin Dally located?

Benjamin Dally practices at 800 Roosevelt Road Bldg E Ste 410, #8, Glen Ellyn, IL 60137. The listed phone number is (630) 216-9201.

What is Benjamin Dally's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Benjamin Dally enrolled in Medicare?

Yes. Benjamin Dally is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Dally was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.