Modern Clinical Counseling

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MODERN CLINICAL COUNSELING

Practice address

1130 Bardell Dr
Wilmington, DE 19808-3000

Phone

(610) 324-3571

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Eric Johnsen, MA LPCMHNPI 1023602091

Title

Ceo

Phone

(610) 324-3571

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Johnsen, NCC (LPC)

  • Counselor
  • Newark, DE
  • NPI 1023602091
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1235973231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BARDELL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083000",
            "telephone_number": "610-324-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BARDELL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083000",
            "telephone_number": "610-324-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CLINICAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-324-3571",
        "authorized_official_credential": "MA LPCMH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Mitchell
• Bipasha Mitra, MD
• Ifeanyi Mmagu, PHARM.D.
• MMN Transit Service LLC
• Rebekah L Mo, LCSW
• Dipika J Modi
• Arthur Moffa
• Parham Moftakhar, MD
• Caitlin Grimes Mogelesky
• Dillibai Mohan, NP-C

• Counselor in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.