Individual provider Active NPI

Gretchen Mahoney, LPCMH

  • Professional Counselor
  • Newark, DE
National Provider Identifier
1861807018
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0000676 Issued in DE
Practice address
8 Polly Drummond Hill Rd
Newark, DE 19711-5703
Phone
(302) 738-6859
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0000676 DE Primary

Addresses

Primary practice location

8 Polly Drummond Hill Rd
Newark, DE 19711-5703

Mailing address

318 N Dillwyn Rd
Newark, DE 19711-5505
Phone (302) 562-7953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 22, 2024 through Feb 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000676DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling and Wellness Inc Professional CurrentSince Jun 21, 2022 Accepting new patients
Pike Creek Psychological Center PastSince Jan 17, 2013 Accepting new patients

Organizations & group practices 2

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1861807018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N DILLWYN RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115505",
            "telephone_number": "302-562-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-738-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "GRETCHEN",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "0000676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.