Jill Kathryn Slader, MACP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1109 N Rodney St
Wilmington, DE 19806-4319

Phone

(302) 562-5032

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Kathryn Slader-Young Professional name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1093458515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N RODNEY ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064319",
            "telephone_number": "302-562-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADER",
        "first_name": "JILL",
        "middle_name": "KATHRYN",
        "credential": "MACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill@journeywellnessdelaware.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1109 N Rodney St",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198064319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill@journeywellnessdelaware.com",
            "affiliation": "Y",
            "affiliationName": "Journey Wellness & Consulting Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1109 N Rodney St",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198064319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill@journeywellnessdelaware.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1109 N Rodney St",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198064319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "SLADER-YOUNG",
            "middle_name": "KATHRYN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.