Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Michael Dally, LCPC

Individual provider Mental Health Counselor · NPI 1639444573

Benjamin Michael Dally, LCPC is a Mental Health Counselor in Glen Ellyn, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2012
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

800 Roosevelt Rd Bldg E Ste 410 #8
Glen Ellyn, IL 60137-5839
Phone: (630) 216-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 499 Anthony St, Glen Ellyn, IL 60137-4468 — (630) 866-7161
  • 26w068 Jewell Rd, Wheaton, IL 60187-3931 — (253) 223-5468

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180007749 (IL)

Record details

NPI number1639444573
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedMarch 10, 2012
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address26w068 Jewell Rd, Wheaton, IL 60187-3931

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Glen Ellyn