Organization Active NPI

Awareness and Therapeutic Attachment Associates, LLC

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1023833100
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AWARENESS AND THERAPEUTIC ATTACHMENT ASSOCIATES, LLC
Practice address
614 Black Gates Rd
Wilmington, DE 19803-2240
Phone
(302) 530-9520
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Beth B Donovan, LPCMHNPI 1366716938
Title
Owner
Phone
(302) 530-9520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

614 Black Gates Rd
Wilmington, DE 19803-2240

Mailing address

1053 Country Club Rd
West Chester, PA 19382-8060
Phone (302) 530-9520

Other identifiers 1

IdentifierTypeStateIssuer
250797368MedicaidDE

Other names 1

  • Beth Donovan, LPCMH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429002863 DE Part B Supplier - Clinic/Group Practice 1355867607 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

501 Silverside Rd
Ste 121
Wilmington, DE 19809
Phone (302) 530-9520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1023833100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 COUNTRY CLUB RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828060",
            "telephone_number": "302-530-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 BLACK GATES RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032240",
            "telephone_number": "302-530-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS AND THERAPEUTIC ATTACHMENT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-530-9520",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250797368",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beth Donovan, LPCMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beth Donovan, LPCMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.