Individual provider Active NPI

Evelyn Cunliffe, MA., NCC., LPC

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1689072167
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000691 Issued in DE
Practice address
3522 Silverside Rd
Suite 32
Wilmington, DE 19810-4916
Phone
(443) 553-7317
NPI assigned
Dec 15, 2014
Last updated
Dec 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0000691 DE Primary

Addresses

Primary practice location

3522 Silverside Rd
Suite 32
Wilmington, DE 19810-4916

Mailing address

707 N Hickory Ave
Suite 32
Bel Air, MD 21014-3025
Phone (443) 553-7317

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
I20240125000634 DE Practitioner - Mental Health Counselor 2860845971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Living Water Counseling LLCGroup PAC ID 5991158008, 3 clinicians

Practice addresses (Care Compare)

3522 Silverside Rd
Wilmington, DE 19810-4916
Phone (443) 553-7317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC-0000691DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Water Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

3522 Silverside Rd
Wilmington, DE 19810
Phone (443) 553-7317

3522 Silverside Rd
#32
Wilmington, DE 19810
Phone (302) 232-3130

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1689072167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N HICKORY AVE",
            "address_2": "SUITE 32",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143025",
            "telephone_number": "443-553-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 SILVERSIDE RD",
            "address_2": "SUITE 32",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104916",
            "telephone_number": "443-553-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNLIFFE",
        "first_name": "EVELYN",
        "credential": "MA., NCC., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.