NPIMap

Organization Active NPI

A Center for Mental Wellness Community Support Programs, LLC

Doing business as A Center for Mental Wellness Community Support Programs

  • Adolescent and Children Mental Health Clinic/Center
  • Dover, DE
National Provider Identifier
1225503303
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC
Doing business as
A Center for Mental Wellness Community Support Programs
Practice address
121 W Loockerman St
Dover, DE 19904-7325
Phone
(302) 674-1397
Fax
(302) 674-1602
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Lauren Elizabeth Tinsley
Title
Managing Member
Phone
(302) 674-1397

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

121 W Loockerman St
Dover, DE 19904-7325

Mailing address

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

Other practice location 1

25 S Old Baltimore Pike Bldg 1
Newark, DE 19702-1540
Phone (302) 266-6200

Other identifiers 1

IdentifierTypeStateIssuer
1225503303OtherDEDSCYF

Other names 1

  • A Center for Mental Wellness Community Support Programs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Center for Mental Wellness Community Support Programs LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1225503303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 S Old Baltimore Pike Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197021540",
            "country_code": "US",
            "telephone_number": "302-266-6200",
            "fax_number": "302-266-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "302-674-1397"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSCYF",
            "identifier": "1225503303",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Center for Mental Wellness Community Support Programs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.