Deluca Family Wellness Center, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1540 Issued in WV

Legal business name

DELUCA FAMILY WELLNESS CENTER, INC.

Practice address

RT. 2 Box 406 Suite 121
Clarksburg, WV 26301

Phone

(304) 626-3541

Fax

(304) 626-3174

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Joseph Deluca, M.S. , LPCNPI 1609950765

Title

Managing Member

Phone

(304) 626-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Matthew Joseph Deluca, MS, LPC

  • Professional Counselor
  • Clarksburg, WV
  • NPI 1609950765
  NPD (past) Authorized official
• Lisa Dianne Ball, PROVISIONAL LPC

  • Mental Health Counselor
  • Bridgeport, WV
  • NPI 1679284939
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199145600000",
    "number": "1174729990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT. 2 BOX 406 SUITE 121",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-626-3541",
            "fax_number": "304-626-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 2 BOX 406 SUITE 121",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-626-3541",
            "fax_number": "304-626-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUCA FAMILY WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-01-01",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-626-3541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. , LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LPC",
            "identifier": "1540",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denelle Marie Degarmo, PTA
• Jill C Deicas, MS
• Annalisa Delagarza, PHARM.D.
• Charles E Delaney
• Virginia Grace Delawder, M.ED., NBC-HWC
• Matthew Joseph Deluca, MS, LPC
• Daniel J Demarino
• Belinda Ann Demastus
• Elizabeth Ann Dempsey, MSW
• Eric Dennison

• Professional Counselor in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.