Deborah Cover

Individual provider Active NPI Mental Health Counselor · Delphi, IN

NPI 1215054564 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215054564
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
39001647A (IN)
Practice address
1265 N Bradford Dr
Delphi, IN 46923-9553
Phone
(765) 564-2247
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
39001647AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc Past Accepting new patients
Valley Oaks Health Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001647A IN Yes

Addresses

Primary practice location

1265 N Bradford Dr
Delphi, IN 46923-9553

Mailing address

1265 N Bradford Dr
Delphi, IN 46923-9553

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215054564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 N BRADFORD DR",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469239553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 N BRADFORD DR",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469239553",
            "telephone_number": "765-564-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVER",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001647A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

All providers in Delphi, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.