Individual provider Active NPI

Moneak C. Baskerville, MS, MFT, LPC, LMHPC

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1871774901
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0000404 Issued in DE
Practice address
3301 N Market St
Wilmington, DE 19802-2738
Phone
(302) 834-5242
Fax
(302) 834-7532
NPI assigned
Nov 16, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 PC-0000404 DE Primary

Addresses

Primary practice location

3301 N Market St
Wilmington, DE 19802-2738

Mailing address

3 N Redspire CT
Newark, DE 19702-3947
Phone (302) 834-5242

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC-0000404DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovering Your Hidden Values Current Accepting new patients

Organizations & group practices 1

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1871774901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N REDSPIRE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023947",
            "telephone_number": "302-834-5242",
            "fax_number": "302-834-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N MARKET ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022738",
            "telephone_number": "302-834-5242",
            "fax_number": "302-834-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "MONEAK",
        "middle_name": "C.",
        "credential": "MS, MFT, LPC, LMHPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.