Individual provider Active NPI

Helena Montaque, PH.D., LMFT

  • Marriage & Family Therapist
  • Middletown, DE
National Provider Identifier
1205533882
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
FT-0010144 Issued in DE
Practice address
735 Mapleton Ave Ste 200
Middletown, DE 19709-1560
Phone
(302) 224-1400
NPI assigned
Feb 14, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1732 CT
Marriage & Family Therapist 106H00000X FT-0010144 DE Primary

Addresses

Primary practice location

735 Mapleton Ave Ste 200
Middletown, DE 19709-1560

Mailing address

60 Freedom Dr
Dover, DE 19904-2635
Phone (302) 632-2046

Other names 1

  • Helena Danielle Green Montaque Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003322 DE Practitioner - Marriage and Family Therapist 8325580749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

735 Mapleton Ave
Suite 200
Middletown, DE 19709-1560
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
FT-0010144DEMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

735 Mapleton Ave
Ste 200
Middletown, DE 19709
Phone (302) 563-8713

100 W Commons Blvd
Ste 301
New Castle, DE 19720
Phone (302) 428-0205

100 Commerce Dr
Ste 100
Newark, DE 19713
Phone (302) 575-8240

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

Interoperability endpoints

  • Direct secure messaging: helena.montaque.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1205533882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FREEDOM DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042635",
            "telephone_number": "302-632-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 MAPLETON AVE STE 200",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091560",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAQUE",
        "first_name": "HELENA",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1732",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "FT-0010144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENA",
            "last_name": "GREEN MONTAQUE",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.