NPIMap

Organization Active NPI

Diamond State Counseling, LLC

  • Community/Behavioral Health Agency
  • Newark, DE
National Provider Identifier
1760854590
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC-000624 Issued in DE
Legal business name
DIAMOND STATE COUNSELING, LLC
Practice address
2644 Kirkwood Highway
Suite 250
Newark, DE 19711
Phone
(302) 683-1055
Fax
(302) 683-1312
NPI assigned
Oct 20, 2015
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Mrs. Elizabeth M Bowman, LPCMHNPI 1801134945
Title
Ceo, Psychotherapist
Phone
(302) 683-1055

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
Community/Behavioral Health Agency 251S00000X PC-000624 DE Primary

Addresses

Primary practice location

2644 Kirkwood Highway
Suite 250
Newark, DE 19711

Mailing address

2644 Kirkwood Highway
Suite 250
Newark, DE 19711
Phone (302) 683-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210504002084 DE Part B Supplier - Clinic/Group Practice 1850700899 Receives reassigned benefits from 11 practitioners
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

2644 Capitol Trl
Ste 250
Newark, DE 19711
Phone (302) 683-1055

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1760854590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 KIRKWOOD HIGHWAY",
            "address_2": "SUITE 250",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-683-1055",
            "fax_number": "302-683-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 KIRKWOOD HIGHWAY",
            "address_2": "SUITE 250",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19711",
            "telephone_number": "302-683-1055",
            "fax_number": "302-683-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND STATE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "302-683-1055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "DE",
            "license": "PC-000624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.

Verify at the official NPI Registry.