Active NPI
Cathy Teoli-Lavallee, LPCMH, LCDP
- Mental Health Counselor
- Newark, DE
National Provider Identifier
1013059377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000266
- Practice address
- 1400 Peoples PLZ
Suite 127
Newark, DE 19702-5707 - Phone
- (302) 595-2380
- Fax
- (302) 595-2382
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CD-0000009 | DE | |
| Mental Health Counselor | 101YM0800X | PC-0000266 | DE | Primary |
Addresses
Primary practice location
1400 Peoples PLZ
Suite 127
Newark, DE 19702-5707
Mailing address
328 Wallace Dr
Top of the Wedge
Newark, DE 19711-2036
Phone (302) 595-2380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000022913 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CD-0000009 | DE | MD | Addiction (Substance Use Disorder) Counselor |
| PC-0000266 | DE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1013059377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 WALLACE DR",
"address_2": "TOP OF THE WEDGE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112036",
"telephone_number": "302-595-2380",
"fax_number": "302-595-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PEOPLES PLZ",
"address_2": "SUITE 127",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025707",
"telephone_number": "302-595-2380",
"fax_number": "302-595-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEOLI-LAVALLEE",
"first_name": "CATHY",
"credential": "LPCMH, LCDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": "CD-0000009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000022913",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.