Individual provider Active NPI

Usha Fatunmbi

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1215678982
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011178 Issued in DE
Practice address
261 Chapman Rd BLDG Suite102
Newark, DE 19702-5423
Phone
(302) 455-9333
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011178 DE Primary

Addresses

Primary practice location

261 Chapman Rd BLDG Suite102
Newark, DE 19702-5423

Mailing address

261 Chapman Rd BLDG Suite102
Newark, DE 19702-5423
Phone (302) 455-9333

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
I20250612002857 DE Practitioner - Mental Health Counselor 7214448737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Center for Mental Wellness, Inc.Group PAC ID 1456408897, 12 clinicians

Practice addresses (Care Compare)

25 S Old Baltimore Pike
Newark, DE 19702-1540
Phone (302) 266-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011178DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Mental Wellness, Inc. Mental Health CurrentSince May 7, 2025 Accepting new patients

Locations

121 W Loockerman St
Dover, DE 19904
Phone (302) 674-1397

25 S Old Baltimore Pike
Newark, DE 19702
Phone (302) 266-6200

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1215678982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CHAPMAN RD BLDG SUITE102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025423",
            "telephone_number": "302-455-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 CHAPMAN RD BLDG SUITE102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025423",
            "telephone_number": "302-455-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATUNMBI",
        "first_name": "USHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.