Active NPI
Joan Procaccio, MFT, LPCMH
- Mental Health Counselor
- Lewes, DE
National Provider Identifier
1376653741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000351
- Practice address
- 32180 Oak Dr
Lewes, DE 19958-3663 - Phone
- (302) 542-6394
- Fax
- (302) 966-0006
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000351 | DE | Primary |
Addresses
Primary practice location
32180 Oak Dr
Lewes, DE 19958-3663
Mailing address
32180 Oak Dr
Lewes, DE 19958-3663
Phone (302) 542-6394
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000351 | DE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1376653741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32180 OAK DR",
"city": "LEWES",
"state": "DE",
"postal_code": "199583663",
"telephone_number": "302-542-6394",
"fax_number": "302-966-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32180 OAK DR",
"city": "LEWES",
"state": "DE",
"postal_code": "199583663",
"telephone_number": "302-542-6394",
"fax_number": "302-966-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCACCIO",
"first_name": "JOAN",
"credential": "MFT, LPCMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewes, DE
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.