Active NPI
First State Behavioral Health Center
- Professional Counselor
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0000703
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avon Timothy Jones Jr., LPCMH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.
-
- Professional Counselor
- Dover, DE
- NPI 1376948208
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.