Individual provider Active NPI

Jeanne Felicia Mitchell, M.F.T., L.M.F.T

  • Marriage & Family Therapist
  • Dover, DE
National Provider Identifier
1003160110
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
FT-0000046 Issued in DE
Practice address
103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone
(302) 678-3020
Fax
(302) 678-2458
NPI assigned
Oct 29, 2012
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000584 PA
Marriage & Family Therapist 106H00000X FT-0000046 DE Primary

Addresses

Primary practice location

103 Mont Blanc Blvd
Dover, DE 19904-7615

Mailing address

74 Liborio LN
Smyrna, DE 19977-7711
Phone (215) 219-8502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260424001853 PA Practitioner - Marriage and Family Therapist 7113494311 Reassigns benefits to 1 organization
I20260424001970 DE Practitioner - Marriage and Family Therapist 7113494311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2332 Galiano St
FL 2
Coral Gables, FL 33134-5402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FT-0000046DEMDMarriage & Family Therapist
MF000584PAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Soul Healing, LLC Marriage & Family Therapist CurrentSince Jun 29, 2025 Accepting new patients
Balanced Mind Counseling Center Past Accepting new patients
Delaware Guidance Services for Children & Youth, Inc. PastSince Mar 4, 2021 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1003160110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LIBORIO LN",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777711",
            "telephone_number": "215-219-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-678-3020",
            "fax_number": "302-678-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEANNE",
        "middle_name": "FELICIA",
        "credential": "M.F.T., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000584",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "FT-0000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.