Active NPI
Caitlin R Walls, LPCMH, LAAT
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1619744976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0011332
- Practice address
- 401 E 12TH St
Wilmington, DE 19801-3403 - Phone
- (302) 576-8080
- Fax
- (302) 576-8084
- NPI assigned
- Dec 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0011332 | DE | Primary |
| Art Therapist | 221700000X | AS-0010001 | DE |
Addresses
Primary practice location
401 E 12TH St
Wilmington, DE 19801-3403
Mailing address
401 E 12TH St
Wilmington, DE 19801-3403
Phone (302) 576-8080
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 |
|---|---|---|---|
| PC-0011332 | DE | MD | Mental Health Counselor |
| AS-0010001 | DE | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1619744976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E 12TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198013403",
"telephone_number": "302-576-8080",
"fax_number": "302-576-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E 12TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198013403",
"telephone_number": "302-576-8080",
"fax_number": "302-576-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "CAITLIN",
"middle_name": "R",
"credential": "LPCMH, LAAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0011332",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "DE",
"license": "AS-0010001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.