Jacqueline Whiteley, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0000756 Issued in DE

Practice address

31 Hosier St
Selbyville, DE 19975-9300

Phone

(302) 436-1000

NPI assigned

Apr 29, 2015

Last updated

Jun 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of Delaware

  dba Indian River School District

  • Local Education Agency (LEA)
  • Selbyville, DE
  • NPI 1659415529
  NPD (past)

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1699152504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14303 WIGHT ST",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218422034",
            "telephone_number": "410-409-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOSIER ST",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199759300",
            "telephone_number": "302-436-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELEY",
        "first_name": "JACQUELINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0777",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Wagner
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• Walgreen Co (Walgreens # 11136)
• Well BL Opco LLC (Brandywine Living at Fenwick Island)
• Andrea Whittington, COTA/L
• Shelley Wilgus
• Ruth Willing
• Brigid Raughley Wolfgang, LP
• Kristen M Wyatt, M.S., CCC-SLP

• Mental Health Counselor in Selbyville, DE
• Providers in Selbyville, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.