Organization Active NPI

First State Behavioral Health Center

  • Professional Counselor
  • Newark, DE
National Provider Identifier
1235640673
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0000703 Issued in DE
Legal business name
FIRST STATE BEHAVIORAL HEALTH CENTER
Practice address
260 Chapman Rd Ste 200-1
Newark, DE 19702-5490
Phone
(302) 261-8723
Fax
(302) 538-6898
NPI assigned
Oct 12, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Avon Timothy Jones Jr., LPCMHNPI 1376948208
Title
Ceo
Phone
(302) 261-8723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0000703 DE Primary

Addresses

Primary practice location

260 Chapman Rd Ste 200-1
Newark, DE 19702-5490

Mailing address

346 Chanticleer Cir
Camden, DE 19934-5403
Phone (302) 261-8723

Other practice location 1

9 E Loockerman St Ste 302
Dover, DE 19901-8305
Phone (302) 261-8723

National Provider Directory

National Provider Directory

Locations

9 E Loockerman St
Ste 302
Dover, DE 19901
Phone (302) 261-8723

260 Chapman Rd
Ste 200-1
Newark, DE 19702
Phone (302) 261-8723

Practitioners & affiliated clinicians

Practitioners 1

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": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1235640673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 CHANTICLEER CIR",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199345403",
            "telephone_number": "302-261-8723",
            "fax_number": "302-538-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CHAPMAN RD STE 200-1",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025490",
            "telephone_number": "302-261-8723",
            "fax_number": "302-538-6898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 E Loockerman St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199018305",
            "country_code": "US",
            "telephone_number": "302-261-8723",
            "fax_number": "302-538-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST STATE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AVON",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-261-8723",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "0000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.