Organization Active NPI

Christiana Counseling and Psychiatric Associates Inc.

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1124179981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1996107299 Issued in DE
Legal business name
CHRISTIANA COUNSELING AND PSYCHIATRIC ASSOCIATES INC.
Practice address
5235 W Woodmill Dr
Suites 47 & 48
Wilmington, DE 19808-4068
Phone
(302) 995-1680
Fax
(302) 995-1790
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Blaine Morris, LCSWNPI 1306994348
Title
Owner, Licenced Clinical Social Wor
Phone
(302) 995-1680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1996107299 DE Primary

Addresses

Primary practice location

5235 W Woodmill Dr
Suites 47 & 48
Wilmington, DE 19808-4068

Mailing address

5235 W Woodmill Dr
Suites 47 & 48
Wilmington, DE 19808-4068
Phone (302) 995-1680

Other names 1

  • Christiana Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000438 DE Part B Supplier - Clinic/Group Practice 7517909260 Receives reassigned benefits from 4 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

5235 W Woodmill Dr
#47
Wilmington, DE 19808
Phone (302) 995-1680

5235 W Woodmill Dr
Ste 47
Wilmington, DE 19808
Phone (302) 995-1680

5235 W Woodmill Dr
Ste 4748
Wilmington, DE 19808
Phone (302) 995-1680

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124179981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 W WOODMILL DR",
            "address_2": "SUITES 47 & 48",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-995-1680",
            "fax_number": "302-995-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 W WOODMILL DR",
            "address_2": "SUITES 47 & 48",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-995-1680",
            "fax_number": "302-995-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA COUNSELING AND PSYCHIATRIC ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER, LICENCED CLINICAL SOCIAL WOR",
        "authorized_official_telephone_number": "302-995-1680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "1996107299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christiana Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.