Organization Active NPI

Self Care Therapeutics LLC

  • Counselor
  • Middletown, DE
National Provider Identifier
1750023917
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SELF CARE THERAPEUTICS LLC
Practice address
1086 Wickersham Way
Middletown, DE 19709-1800
Phone
(302) 377-7176
NPI assigned
Apr 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Indeya Chavis, LPCMHNPI 1710480330
Title
Owner
Phone
(302) 377-7176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1086 Wickersham Way
Middletown, DE 19709-1800

Mailing address

1086 Wickersham Way
Middletown, DE 19709-1800
Phone (302) 377-7176

National Provider Directory

National Provider Directory

Practitioners & 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": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1750023917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 WICKERSHAM WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091800",
            "telephone_number": "302-377-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 WICKERSHAM WAY",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091800",
            "telephone_number": "302-377-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "INDEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-377-7176",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.