Charles Stuart Johnson, LPCMH
Individual provider Active NPI Mental Health Counselor · Milford, DE
NPI 1871650119 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871650119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC0000101 (DE)
- Practice address
- 1131 Airport Rd
Milford, DE 19963-6418 - Phone
- (302) 422-8026
- Fax
- (302) 422-0701
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- People'S Place II, Inc.
Practice addresses (Care Compare)
1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513002858 | DE | Practitioner - Mental Health Counselor | 6800237520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC0000101 | DE | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC0000101 | DE | Yes |
Addresses
Primary practice location
1131 Airport Rd
Milford, DE 19963-6418
Mailing address
1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000022269 | Medicaid | DE |
Other providers in Milford, DE
- Frederick B Janssen
- Jolaolu M Jimoh
- Allison Brooke Johannsen
- John R Stump MD
- Carol Ann Johnson-Krumm
- Constance Johnson
- Edwin Mark Johnson
- Kyndall Johnson
- Kimberly Taylor Jones
- Megan Lynn Jones
All providers in Milford, DE · Mental Health Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.