Organization Active NPI

Courageous Hearts LLC

  • Community/Behavioral Health Agency
  • Lincoln, DE
National Provider Identifier
1346794476
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
Q1-0000948 Issued in DE
Legal business name
COURAGEOUS HEARTS LLC
Practice address
8848 September Way
Lincoln, DE 19960-3267
Phone
(302) 593-1378
Fax
(302) 265-2790
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Rosemary Baughman, LCSW, CADCNPI 1285883975
Title
Director
Phone
(302) 593-1378

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Community/Behavioral Health Agency 251S00000X Q1-0000948 DE Primary

Addresses

Primary practice location

8848 September Way
Lincoln, DE 19960-3267

Mailing address

8848 September Way
Lincoln, DE 19960-3267
Phone (302) 593-1378

Other practice location 1

1699 Harvey Straughn Rd
Townsend, DE 19734-9663
Phone (302) 491-6946

Other practice location 2

14392 Sussex Hwy
Bridgeville, DE 19933-2975
Phone (302) 491-6946

Other identifiers 1

IdentifierTypeStateIssuer
1285883975MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614000689 DE Part B Supplier - Clinic/Group Practice 2466852462 Receives reassigned benefits from 7 practitioners
Practice locations: Lincoln, DE

National Provider Directory

National Provider Directory

Locations

14392 Sussex Hwy
Bridgeville, DE 19933
Phone (302) 491-6946

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1346794476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 SEPTEMBER WAY",
            "city": "LINCOLN",
            "state": "DE",
            "postal_code": "199603267",
            "telephone_number": "302-593-1378",
            "fax_number": "302-265-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 SEPTEMBER WAY",
            "city": "LINCOLN",
            "state": "DE",
            "postal_code": "199603267",
            "telephone_number": "302-593-1378",
            "fax_number": "302-265-2790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1699 Harvey Straughn Rd",
            "address_purpose": "LOCATION",
            "city": "Townsend",
            "state": "DE",
            "postal_code": "197349663",
            "country_code": "US",
            "telephone_number": "302-491-6946",
            "fax_number": "302-424-9375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14392 Sussex Hwy",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "DE",
            "postal_code": "199332975",
            "country_code": "US",
            "telephone_number": "302-491-6946",
            "fax_number": "302-424-9375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COURAGEOUS HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "BAUGHMAN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-593-1378",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "Q1-0000948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285883975",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.