Individual provider Active NPI

Mary Beth Davis, LPCMH

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1053199182
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011181 Issued in DE
Practice address
501 Silverside Rd Ste 67
Wilmington, DE 19809-1394
Phone
(302) 689-3836
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20853 NC
Mental Health Counselor 101YM0800X PC-012433 PA
Mental Health Counselor 101YM0800X 37PC00935900 NJ
Mental Health Counselor 101YM0800X PC-0011181 DE Primary

Addresses

Primary practice location

501 Silverside Rd Ste 67
Wilmington, DE 19809-1394

Mailing address

501 Silverside Rd Ste 67
Wilmington, DE 19809-1394
Phone (302) 689-3836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240104002485 DE Practitioner - Mental Health Counselor 0143671032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 Silverside Rd
Suite 67
Wilmington, DE 19809-1394
Phone (302) 689-3836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011181DEMDMental Health Counselor
20853NCMDMental Health Counselor
37PC00935900NJMDMental Health Counselor
PC-012433PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cadence Counseling and Wellness LLC CurrentSince Dec 13, 2023 Accepting new patients

Locations

501 Silverside Rd
Ste 67
Wilmington, DE 19809
Phone (302) 217-6399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1053199182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 67",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091394",
            "telephone_number": "302-689-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SILVERSIDE RD STE 67",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198091394",
            "telephone_number": "302-689-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20853",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC-012433",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00935900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.