NPIMap

Organization Active NPI

A Center for Mental Wellness Community Support Programs, LLC

Doing business as Building Bridges in Sussex at ACFMW

  • Adolescent and Children Mental Health Clinic/Center
  • Dover, DE
National Provider Identifier
1356816433
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC
Doing business as
Building Bridges in Sussex at ACFMW
Practice address
121 W Loockerman St
Dover, DE 19904-7325
Phone
(302) 674-1397
Fax
(302) 674-1397
NPI assigned
Oct 4, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
A CENTER FOR MENTAL WELLNESS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Lauren Elizabeth Tinsley, LPCMHNPI 1194882910
Title
Managing Member
Phone
(302) 674-1397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

121 W Loockerman St
Dover, DE 19904-7325

Mailing address

121 W Loockerman St
Dover, DE 19904-7325
Phone (302) 674-1397

Other identifiers 1

IdentifierTypeStateIssuer
1639325822OtherDEDSCYF

Other names 1

  • Building Bridges in Sussex at ACFMW Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Center for Mental Wellness Community Support Programs LLC10 organizations share this tax ID, including this one
Part of
A Ctr for MNTL Wellness Inc

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1356816433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LOOCKERMAN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047325",
            "telephone_number": "302-674-1397",
            "fax_number": "302-674-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A CENTER FOR MENTAL WELLNESS, INC.",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "302-674-1397",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSCYF",
            "identifier": "1639325822",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Bridges in Sussex at ACFMW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Building Bridges in Sussex at ACFMW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2019; 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.