Individual provider Active NPI

Christopher Faulkner, LPCMH, CADC

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1609906965
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000623 Issued in DE
Practice address
156 S State Street Aly
Dover, DE 19904-7348
Phone
(302) 674-2380
Fax
(302) 674-1299
NPI assigned
Mar 6, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 351 DE
Mental Health Counselor 101YM0800X PC-0000623 DE Primary

Addresses

Primary practice location

156 S State Street Aly
Dover, DE 19904-7348

Mailing address

156 S State Street Aly
Dover, DE 19904-7348
Phone (302) 674-2380

Other practice location 1

513 S DuPont Blvd Ste B
Milford, DE 19963-1757
Phone (302) 674-2380

Other practice location 2

118 Sandhill Dr Ste 202
Middletown, DE 19709-5863
Phone (302) 674-2380

Other identifiers 1

IdentifierTypeStateIssuer
1609906965MedicaidDE

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
I20240917002967 DE Practitioner - Mental Health Counselor 7911448063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mind and Body Consortium, LLC.Group PAC ID 9739234014, 19 clinicians

Practice addresses (Care Compare)

156 S State St
Dover, DE 19901-7314
Phone 302674238039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
351DEMDCounselor
PC-0000623DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind and Body Consortium, LLC. Addiction (Substance Use Disorder) CurrentSince Sep 5, 2024 Accepting new patients

Locations

1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397

156 S State St
Dover, DE 19901
Phone 30267423801218

118 Sandhill Dr
Ste 201
Middletown, DE 19709
Phone 3024499314108

118 Sandhill Dr
Ste 202
Middletown, DE 19709

513 S DuPont Blvd
Ste B
Milford, DE 19963

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, 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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1609906965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S STATE STREET ALY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047348",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S STATE STREET ALY",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047348",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 S DuPont Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199631757",
            "country_code": "US",
            "telephone_number": "302-674-2380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Sandhill Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095863",
            "country_code": "US",
            "telephone_number": "302-674-2380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "CHRISTOPHER",
        "credential": "LPCMH, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "351",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609906965",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.