Active NPI
Theodora Anne Millerline, LPCMH
- Professional Counselor
- Dover, DE
National Provider Identifier
1497752984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC0000273
- Practice address
- 1155 Walker Rd
Dover, DE 19904-6539 - Phone
- (302) 674-1600
- Fax
- (302) 674-1005
- NPI assigned
- Jun 30, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC0000273 | DE | Primary |
Addresses
Primary practice location
1155 Walker Rd
Dover, DE 19904-6539
Mailing address
2601 W 4TH St
Wilmington, DE 19805-3309
Phone (302) 674-1600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC0000273 | DE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Inc | 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.
-
- Mental Health Counselor
- Wilmington, DE
- NPI 1033142617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1497752984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 W 4TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053309",
"telephone_number": "302-674-1600",
"fax_number": "302-674-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 WALKER RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199046539",
"telephone_number": "302-674-1600",
"fax_number": "302-674-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLERLINE",
"first_name": "THEODORA",
"middle_name": "ANNE",
"credential": "LPCMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DE",
"license": "PC0000273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 21, 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.