Active NPI
Kathy McIndoe LLC
- Professional Counselor
- Lewes, DE
National Provider Identifier
1720805906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- KATHY MCINDOE LLC
- Practice address
- 21531 Waterview Rd
Lewes, DE 19958-5727 - Phone
- (240) 206-6064
- NPI assigned
- Sep 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy McIndoe, LCPC
- Title
- Owner
- Phone
- (240) 206-6064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
21531 Waterview Rd
Lewes, DE 19958-5727
Mailing address
21531 Waterview Rd
Lewes, DE 19958-5727
Phone (240) 206-6064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1720805906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21531 WATERVIEW RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199585727",
"telephone_number": "240-206-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21531 WATERVIEW RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199585727",
"telephone_number": "240-206-6064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY MCINDOE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "MCINDOE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-206-6064",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.