Organization Active NPI

True North Counseling Services LLC

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1194316778
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRUE NORTH COUNSELING SERVICES LLC
Practice address
3522 Silverside Rd Ste 32
Wilmington, DE 19810-4915
Phone
(484) 354-4499
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mr. Blaze Mitchell Kotler
Title
Office Administrator
Phone
(484) 643-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3522 Silverside Rd Ste 32
Wilmington, DE 19810-4915

Mailing address

881 Baltimore Pike
Chadds Ford, PA 19317-9351
Phone (484) 354-4499

Other identifiers 1

IdentifierTypeStateIssuer
14202873OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Bonniekotler@TNCSwilmington.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250505002852 DE Part B Supplier - Clinic/Group Practice 1153848098 Receives reassigned benefits from 4 practitioners
Practice locations: Hockessin, DE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bonniekotler@tncswilmington.com

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1194316778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 BALTIMORE PIKE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179351",
            "telephone_number": "484-354-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 SILVERSIDE RD STE 32",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104915",
            "telephone_number": "484-354-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "KOTLER",
        "authorized_official_first_name": "BLAZE",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "484-643-2610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14202873",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Bonniekotler@TNCSwilmington.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web Portal",
            "address_1": "3522 Silverside Rd Ste 32",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 27, 2021; 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.