Individual provider Active NPI

Cathy Teoli-Lavallee, LPCMH, LCDP

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1013059377
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000266 Issued in DE
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

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000022913MedicaidDE

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

LicenseStateTypeSpecialty
CD-0000009DEMDAddiction (Substance Use Disorder) Counselor
PC-0000266DEMDMental 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.

Verify at the official NPI Registry.