Active NPI
Willie Watson
- Professional Counselor
- Christiana, DE
National Provider Identifier
1689879140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC-0000409
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000409 | DE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHW Treatment Services LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Christiana, DE
- NPI 1932406642
-
- Community/Behavioral Health Agency
- Christiana, DE
- NPI 1689846446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.