Organization Active NPI

Family Counseling Center of St. Paul'S, Inc.

  • Counseling Psychologist
  • Wilmington, DE
National Provider Identifier
1134428295
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
043427 Issued in DE
Legal business name
FAMILY COUNSELING CENTER OF ST. PAUL'S, INC.
Practice address
301 N Van Buren St
Wilmington, DE 19805-3615
Phone
(302) 576-4136
Fax
(302) 502-0456
NPI assigned
Mar 15, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Marie Redfield
Title
Operations Manager
Phone
(302) 576-4136

Practitioners 6

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20221108000018 DE Part B Supplier - Clinic/Group Practice 1658748496 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

1010 W 4th St
Wilmington, DE 19805
Phone (302) 576-4121

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 043427 DE
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 043427 DE
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 043427 DE Primary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 043427 DE

Addresses

NPPES NPI Registry

Primary practice location

301 N Van Buren St
Wilmington, DE 19805-3615

Mailing address

PO Box 3803
Wilmington, DE 19807-0803
Phone (302) 576-4136

Other names 1

NPPES NPI Registry
  • Amanecer Counseling & Resource Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2022.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1134428295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3803",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198070803",
            "telephone_number": "302-576-4136",
            "fax_number": "302-502-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N VAN BUREN ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053615",
            "telephone_number": "302-576-4136",
            "fax_number": "302-502-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF ST. PAUL'S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "REDFIELD",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "302-576-4136"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "DE",
            "license": "043427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "043427",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "DE",
            "license": "043427",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "DE",
            "license": "043427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanecer Counseling & Resource Center",
            "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 Jul 6, 2022; 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.