Individual provider Active NPI

Johanna Marie Truax

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1568044527
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1114 S Dupont Hwy Ste 102
Dover, DE 19901-4401
Phone
(833) 886-2277
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1114 S Dupont Hwy Ste 102
Dover, DE 19901-4401

Mailing address

3821 Lancaster Pike
Wilmington, DE 19805-1512

Other identifiers 1

IdentifierTypeStateIssuer
1689733792MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtruax@connectionscsp.org

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

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1568044527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014401",
            "telephone_number": "833-886-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUAX",
        "first_name": "JOHANNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689733792",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtruax@connectionscsp.org",
            "affiliation": "N",
            "address_1": "1114 S DuPont Hwy Ste 102",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199014401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2021; 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.