Active NPI
Delford Lynn Lewis, MA, LPC
- Professional Counselor
- Charleston, WV
National Provider Identifier
1851479869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 350
- Practice address
- 1573 Washington St E
Charleston, WV 25311-2505 - Phone
- (304) 343-5554
- Fax
- (304) 343-8492
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 350 | WV | Primary |
Addresses
Primary practice location
1573 Washington St E
Charleston, WV 25311-2505
Mailing address
1573 Washington St E
Charleston, WV 25311-2505
Phone (304) 343-5554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2133560 | Other | WV | MAMSI |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851479869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 WASHINGTON ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112505",
"telephone_number": "304-343-5554",
"fax_number": "304-343-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 WASHINGTON ST E",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253112505",
"telephone_number": "304-343-5554",
"fax_number": "304-343-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DELFORD",
"middle_name": "LYNN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2133560",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.