Organization Active NPI

Safe Retreat Mental Health

  • Mental Health Counselor
  • Claymont, DE
National Provider Identifier
1649010877
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAFE RETREAT MENTAL HEALTH
Practice address
3301 Green St
Claymont, DE 19703-2052
Phone
(302) 765-7068
NPI assigned
May 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Afshan J Khalid, LPCMH
Title
Owner
Phone
(302) 765-7068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3301 Green St
Claymont, DE 19703-2052

Mailing address

3301 Green St
Claymont, DE 19703-2052
Phone (302) 765-7068

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1649010877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 GREEN ST",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032052",
            "telephone_number": "302-765-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 GREEN ST",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032052",
            "telephone_number": "302-765-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE RETREAT MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KHALID",
        "authorized_official_first_name": "AFSHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-765-7068",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.