Active NPI
Patricia Walp
- Addiction (Substance Use Disorder) Counselor
- Seaford, DE
National Provider Identifier
1255775425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1042
- Practice address
- 107 Pennsylvania Ave
Seaford, DE 19973-3817 - Phone
- (302) 629-7900
- Fax
- (302) 629-7954
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1042 | DE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1223 | DE |
Addresses
Primary practice location
107 Pennsylvania Ave
Seaford, DE 19973-3817
Mailing address
467 Creamery Way
Exton, PA 19341-2508
Phone (610) 363-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | DE | MD | Addiction (Substance Use Disorder) Counselor |
| 1223 | DE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holcomb Associates Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Holcomb Associates Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Seaford, DE
- NPI 1164753190
-
- Addiction (Substance Use Disorder) Counselor
- Seaford, DE
- NPI 1790015832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1255775425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 CREAMERY WAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412508",
"telephone_number": "610-363-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PENNSYLVANIA AVE",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733817",
"telephone_number": "302-629-7900",
"fax_number": "302-629-7954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALP",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": "1042",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": "1223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.