Bernard Weah Dormoh

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0011588 Issued in DE

Practice address

2950 Red Lion Rd
Bear, DE 19701-2417

Phone

(302) 999-1106

NPI assigned

Feb 29, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Aquila of Delaware, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bear, DE
  • NPI 1780733170
  NPD (past)

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1114784733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 RED LION RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012417",
            "telephone_number": "302-999-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 RED LION RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012417",
            "telephone_number": "302-999-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMOH",
        "first_name": "BERNARD",
        "middle_name": "WEAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011588",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011588",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica N Diggs, BS
• Stephanie Dimos, MS, ATC
• Elizabeth Ditommasso
• Diversity Care NP Group LLC
• Kristina Dix, DPT
• Richard Doughty
• Elizabeth Downing
• Kyra Corinne Downing, PAC
• Drcardmom LLC (Peach Blossom Health LLC)
• Katharine Drummonds, NP-C

• Mental Health Counselor in Bear, DE
• Providers in Bear, 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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.