Individual provider Active NPI

Willie Watson

  • Professional Counselor
  • Christiana, DE
National Provider Identifier
1689879140
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000409 Issued in DE
Practice address
25 S Old Baltimore Pike
Lafayette BLDG. II, Suite 400
Christiana, DE 19702-1540
Phone
(302) 368-7453
NPI assigned
Jun 15, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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-0000409 DE Primary

Addresses

Primary practice location

25 S Old Baltimore Pike
Lafayette BLDG. II, Suite 400
Christiana, DE 19702-1540

Mailing address

5 Cordrey Rd
Newark, DE 19713-2312
Phone (302) 368-4431

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
I20240123004993 DE Practitioner - Mental Health Counselor 6507218765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0000409DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WHW Treatment Services LLC CurrentSince Jan 1, 2024 Accepting new patients
WHW Treatment Services Past Accepting new patients

Locations

25 S Old Baltimore Pike
Ste 400
Newark, DE 19702
Phone (302) 368-8870

Organizations & group practices 2

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1689879140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CORDREY RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132312",
            "telephone_number": "302-368-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S OLD BALTIMORE PIKE",
            "address_2": "LAFAYETTE BLDG. II, SUITE 400",
            "city": "CHRISTIANA",
            "state": "DE",
            "postal_code": "197021540",
            "telephone_number": "302-368-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WILLIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiana, DE

Sources for this page

Verify at the official NPI Registry.