Individual provider Active NPI

Alton Edward Joseph, PH.D.

  • Pastoral Counselor
  • Georgetown, DE
National Provider Identifier
1356654883
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
20100629122 Issued in DE
Practice address
20155 Office Circle, Suite 2
Georgetown Professional Park
Georgetown, DE 19947
Phone
(302) 396-1588
Fax
(302) 396-0409
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X 20100629122 DE Primary
Mental Health Counselor 101YM0800X 20100629122 DE

Addresses

Primary practice location

20155 Office Circle, Suite 2
Georgetown Professional Park
Georgetown, DE 19947

Mailing address

PO Box 518
Georgetown, DE 19947-0518
Phone (302) 396-1588

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20100629122DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Works Incorporated Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1356654883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199470518",
            "telephone_number": "302-396-1588",
            "fax_number": "302-396-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20155 OFFICE CIRCLE, SUITE 2",
            "address_2": "GEORGETOWN PROFESSIONAL PARK",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "19947",
            "telephone_number": "302-396-1588",
            "fax_number": "302-396-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ALTON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "DE",
            "license": "20100629122",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "20100629122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.