Individual provider Active NPI

Beverly John Deal, LCSW

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1821752262
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q1-0001753 Issued in DE
Practice address
850 Library Ave Ste 104
Newark, DE 19711-7170
Phone
(302) 724-6662
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Q1-0001753 DE Primary

Addresses

Primary practice location

850 Library Ave Ste 104
Newark, DE 19711-7170

Mailing address

723 Newport Gap Pike
Wilmington, DE 19804-2639
Phone (610) 952-0505

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL newark.support@thriveworks.com

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

State licenses

LicenseStateTypeSpecialty
Q1-0001753DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services P.a. CurrentSince Oct 24, 2021 Accepting new patients

Locations

850 Library Ave
Ste 104
Newark, DE 19711
Phone (215) 764-2403

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1821752262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198042639",
            "telephone_number": "610-952-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LIBRARY AVE STE 104",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117170",
            "telephone_number": "302-724-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "BEVERLY",
        "middle_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q1-0001753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "newark.support@thriveworks.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "850 Library Ave Ste 104",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197117170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 22, 2021; 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.