Individual provider Active NPI

Christina Miriam Eilers, LCSW

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1295821726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q1-0000682 Issued in DE
Practice address
884 Walker Rd
Suite 5C
Dover, DE 19904-2758
Phone
(302) 346-3364
Fax
(302) 734-7780
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

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

LicenseStateTypeSpecialty
Q1-0000682DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Didden, LCSW, LLC Past Accepting new patients
A Center for Human Development LTD Mental Health PastSince Jan 19, 2006 Accepting new patients
Beth a Canalichio LCSW LTD Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Q1-0000682 DE Primary

Addresses

NPPES NPI Registry

Primary practice location

884 Walker Rd
Suite 5C
Dover, DE 19904-2758

Mailing address

884 Walker Rd
Suite 5C
Dover, DE 19904-2758
Phone (302) 346-3364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295821726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 WALKER RD",
            "address_2": "SUITE 5C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042758",
            "telephone_number": "302-346-3364",
            "fax_number": "302-734-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 WALKER RD",
            "address_2": "SUITE 5C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042758",
            "telephone_number": "302-346-3364",
            "fax_number": "302-734-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILERS",
        "first_name": "CHRISTINA",
        "middle_name": "MIRIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q1-0000682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.