Catherine J Roche, LMFT
Individual provider Active NPI Marriage & Family Therapist · Selbyville, DE
NPI 1104925924 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1104925924
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 000535 (CT)
- Practice address
- 37873 Bayview Cir E
Selbyville, DE 19975-2873 - Phone
- (203) 733-0126
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Danbury, CT 06811
Phone (203) 426-8535
37873 Bayview Cir E
Selbyville, DE 19975-2873
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711001846 | CT | Practitioner - Marriage and Family Therapist | 9739624081 | Practice locations: Danbury, CT |
| I20241219002548 | DE | Practitioner - Marriage and Family Therapist | 9739624081 | Practice locations: Selbyville, DE |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FT-0010100 | DE | MD | Marriage & Family Therapist |
| TPMF589 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- catherineroche@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | FT-0010100 | DE | |
| Marriage & Family Therapist | 106H00000X | TPMF589 | FL | |
| Marriage & Family Therapist | 106H00000X | 000535 | CT | Yes |
Addresses
Primary practice location
37873 Bayview Cir E
Selbyville, DE 19975-2873
Mailing address
37873 Bayview Cir E
Selbyville, DE 19975-2873
Phone (203) 733-0126
Other providers in Selbyville, DE
- Kimberly Corbett Prince
- Regenerative Health Solutions, LLC
- Ellen Rowe Rhodes
- Nicholas Scott Rhoten
- Rite Aid of Delaware Inc
- Heather Rose
- Mallori Roy
- Michael Anthony Sabol
- Kerri Lenker Saldutti
- Sally H. Dowling, MD, LLC
All providers in Selbyville, DE · Marriage & Family Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.