Organization Active NPI

The Clinical Pastoral Counseling Program of Kent and Sussex Counties

  • Pastoral Counselor
  • Seaford, DE
National Provider Identifier
1376670844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
PC-0000288 Issued in DE
Legal business name
THE CLINICAL PASTORAL COUNSELING PROGRAM OF KENT AND SUSSEX COUNTIES
Practice address
Pine and Poplar Stree
St. Johns United Methodist Church
Seaford, DE 19973-0299
Phone
(302) 632-8842
Fax
(302) 422-3360
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dainel E Cooper, LPCMH
Title
Director
Phone
(302) 632-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X PC-0000288 DE Primary

Addresses

Primary practice location

Pine and Poplar Stree
St. Johns United Methodist Church
Seaford, DE 19973-0299

Mailing address

PO Box 299
Seaford, DE 19973-0299
Phone (302) 632-8842

Other names 1

  • Daybreak Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

4744 Summit Bridge Rd
Middletown, DE 19709
Phone (302) 229-6950

525 Polly Drummond Hill Rd
Newark, DE 19711
Phone (302) 272-0625

Practitioners & affiliated clinicians

Practitioners 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376670844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199730299",
            "telephone_number": "302-632-8842",
            "fax_number": "302-422-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE AND POPLAR STREE",
            "address_2": "ST. JOHNS UNITED METHODIST CHURCH",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199730299",
            "telephone_number": "302-632-8842",
            "fax_number": "302-422-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLINICAL PASTORAL COUNSELING PROGRAM OF KENT AND SUSSEX COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "DAINEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-632-8842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": "DE",
            "license": "PC-0000288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.