Individual provider Active NPI

Stephanie Bollinger, LPCMH

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1578726600
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000292 Issued in DE
Practice address
103 Mont Blanc Boulivard
Dover, DE 19901
Phone
(302) 678-2458
Fax
(302) 678-2628
NPI assigned
Jul 9, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 PC-0000292 DE Primary

Addresses

Primary practice location

103 Mont Blanc Boulivard
Dover, DE 19901

Mailing address

103 Mont Blanc Blvd
Dover, DE 19904-7615
Phone (302) 674-8348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241019000043 DE Practitioner - Mental Health Counselor 2264964964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mental Edge Counseling, LLCGroup PAC ID 2668750324, 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Edge Counseling, LLC Mental Health CurrentSince Aug 26, 2024 Accepting new patients
Delaware Guidance Services for Children & Youth, Inc. PastSince Mar 4, 2021 Accepting new patients

Locations

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1578726600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047615",
            "telephone_number": "302-674-8348",
            "fax_number": "302-678-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MONT BLANC BOULIVARD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-678-2458",
            "fax_number": "302-678-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "STEPHANIE",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.