Active NPI
Family Counseling Center of St. Paul'S, Inc.
- Counseling Psychologist
- Wilmington, DE
National Provider Identifier
1134428295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 043427
- 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.
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1164867917
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1679386312
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1497312482
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1497189708
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1013875269
-
- Clinical Social Worker
- Wilmington, DE
- NPI 1104388966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221108000018 | DE | Part B Supplier - Clinic/Group Practice | 1658748496 |
Receives reassigned benefits from 1 practitioner Practice locations: Wilmington, DE |
National Provider Directory
National Provider DirectoryLocations
1010 W 4th St
Wilmington, DE 19805
Phone (302) 576-4121
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 043427 | DE | |
| Mental Health Counselor | 101YM0800X | 043427 | DE | |
| Counseling Psychologist | 103TC1900X | 043427 | DE | Primary |
| Family Psychologist | 103TF0000X | 043427 | DE |
Addresses
NPPES NPI RegistryPrimary 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
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.