Active NPI
Open Minds Therapy
- Clinical Social Worker
- Frederica, DE
National Provider Identifier
1821870916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OPEN MINDS THERAPY
- Practice address
- 11 Riptide CT
Frederica, DE 19946-2112 - Phone
- (302) 751-2003
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Peterson Daniels, LCSW
- Title
- Owner
- Phone
- (302) 751-2003
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11 Riptide CT
Frederica, DE 19946-2112
Mailing address
2206 Old Emmorton Road Suite 100
Box 322
Bel Air, MD 21015
Phone (302) 751-2003
Other practice location 1
1501 Main St Ste 542
Columbia, SC 29201-5801
Phone (302) 751-2003
Other practice location 2
10 S Walnut St
Milford, DE 19963-1954
Phone (302) 470-6661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231208002626 | DE | Part B Supplier - Clinic/Group Practice | 0941659437 |
Receives reassigned benefits from 6 practitioners Practice locations: Frederica, DE |
| O20250417001521 | SC | Part B Supplier - Clinic/Group Practice | 0941659437 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia, SC |
National Provider Directory
National Provider DirectoryLocations
2206 Old Emmorton Rd
Ste 100
Bel Air, MD 21015
1501 Main St
Ste 542
Columbia, SC 29201
Phone (302) 751-2003
Practitioners & affiliated clinicians
Practitioners 6
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": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784937600000",
"number": "1821870916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 OLD EMMORTON ROAD SUITE 100",
"address_2": "BOX 322",
"city": "BEL AIR",
"state": "MD",
"postal_code": "21015",
"telephone_number": "302-751-2003",
"fax_number": "302-570-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RIPTIDE CT",
"city": "FREDERICA",
"state": "DE",
"postal_code": "199462112",
"telephone_number": "302-751-2003"
}
],
"practiceLocations": [
{
"address_1": "1501 Main St Ste 542",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292015801",
"country_code": "US",
"telephone_number": "302-751-2003",
"fax_number": "302-570-4664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 S Walnut St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "DE",
"postal_code": "199631954",
"country_code": "US",
"telephone_number": "302-470-6661",
"fax_number": "302-547-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OPEN MINDS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "PETERSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "302-751-2003",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederica, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.