Active NPI
Awareness and Therapeutic Attachment Associates, LLC
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1023833100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth B Donovan, LPCMH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250797368 | Medicaid | DE |
Other names 1
- Beth Donovan, LPCMH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.