Individual provider Active NPI

Raenisha Watson, LPCMH

  • Mental Health Counselor
  • Milford, DE
National Provider Identifier
1841988144
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011686 Issued in DE
Practice address
556 S Dupont Blvd Ste I
Milford, DE 19963-1706
Phone
(302) 503-5142
NPI assigned
Apr 26, 2023
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 PC-0011686 DE Primary

Addresses

Primary practice location

556 S Dupont Blvd Ste I
Milford, DE 19963-1706

Mailing address

556 S Dupont Blvd Ste I
Milford, DE 19963-1706
Phone (302) 503-5142

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241014000986 DE Practitioner - Mental Health Counselor 3577095793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind Mechanix LLCGroup PAC ID 4587910013, 4 clinicians

Practice addresses (Care Compare)

1011 Mattlind Way
Milford, DE 19963-5369
Phone (302) 503-5142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011686DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 10, 2024 Accepting new patients
Therapy Niche Mental Health CurrentSince Jul 9, 2025 Accepting new patients
Mind Mechanix LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

1011 Mattlind Way
Milford, DE 19963
Phone (302) 295-6312

556 S DuPont Blvd
Ste I
Milford, DE 19963
Phone (302) 430-7500

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1841988144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S DUPONT BLVD STE I",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631706",
            "telephone_number": "302-503-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S DUPONT BLVD STE I",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631706",
            "telephone_number": "302-503-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RAENISHA",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.