Ebony T Maddrey, M.S., LPCMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0011145 Issued in DE

Practice address

3301 Green St
Claymont, DE 19703-2052

Phone

(302) 981-4466

NPI assigned

Dec 15, 2006

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

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patchwork Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claymont, DE
  • NPI 1952906380

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1790847515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 GREEN ST",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032052",
            "telephone_number": "302-501-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 GREEN ST",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032052",
            "telephone_number": "302-981-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDREY",
        "first_name": "EBONY",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "M.S., LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q3-0000249",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin Liu, M.D.
• Joan Lochrie
• Paula Lowe, RN
• Daniel Lumpkin
• John Hess Lutz III
• Madison Adoption Associates, LTD.
• Jenna Lea Mahalik, BS
• Lucy N Maina
• Patrick Malone
• James Francis Malseed, M.ED., ATC

• Mental Health Counselor in Claymont, DE
• Providers in Claymont, 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 Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.