Mariella Roberts Lpcmh, LLC
Organization Active NPI Mental Health Counselor · Talleyville, DE
NPI 1093520488 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1093520488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- MARIELLA ROBERTS LPCMH, LLC
- Practice address
- 200 Washington Ave
Talleyville, DE 19803-2353 - Phone
- (302) 966-3058
- NPI assigned
- Feb 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Mariella Roberts
- Title
- Owner
- Phone
- (302) 966-3058
Practitioners 1
-
Mariella Roberts, LPCMH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250410000942 | DE | Part B Supplier - Clinic/Group Practice | 2163945916 |
Receives reassigned benefits from 1 practitioner Practice locations: Talleyville, DE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
200 Washington Ave
Talleyville, DE 19803-2353
Mailing address
200 Washington Ave
Talleyville, DE 19803-2353
Phone (302) 966-3058
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- Katherine Lusky
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All providers in Talleyville, DE · Mental Health Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.