Active NPI
William James De Leo, M.DIV., M.ED., M.S.
- Marriage & Family Therapist
- Wilmington, NC
National Provider Identifier
1760519656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1075
- Practice address
- 610 S College Rd
Wilmington, NC 28403-3202 - Phone
- (910) 799-1071
- Fax
- (910) 799-3313
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1075 | NC | Primary |
Addresses
Primary practice location
610 S College Rd
Wilmington, NC 28403-3202
Mailing address
610 S College Rd
Wilmington, NC 28403-3202
Phone (910) 799-1071
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2241880 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 6105070 | Medicaid | NC | |
| E3406 | Other | NC | MEDCOST |
| 139WN | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1075 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1760519656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033202",
"telephone_number": "910-799-1071",
"fax_number": "910-799-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033202",
"telephone_number": "910-799-1071",
"fax_number": "910-799-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEO",
"first_name": "WILLIAM",
"middle_name": "JAMES",
"credential": "M.DIV., M.ED., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2241880",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105070",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E3406",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139WN",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.