Individual provider Active NPI

Delillian Viola Litten, LPC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1588717060
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4869 Issued in NC
Practice address
3622 Haworth Dr
Suite 100
Raleigh, NC 27609-7219
Phone
(919) 847-3035
Fax
(919) 845-5123
NPI assigned
Jan 19, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 4869 NC Primary

Addresses

Primary practice location

3622 Haworth Dr
Suite 100
Raleigh, NC 27609-7219

Mailing address

4824 Radcliff Rd
Raleigh, NC 27609-5318
Phone (919) 787-6049

Other identifiers 1

IdentifierTypeStateIssuer
6102817MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 28, 2024 through Oct 28, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4869NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1588717060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 RADCLIFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095318",
            "telephone_number": "919-787-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 HAWORTH DR",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097219",
            "telephone_number": "919-847-3035",
            "fax_number": "919-845-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTEN",
        "first_name": "DELILLIAN",
        "middle_name": "VIOLA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102817",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.