Individual provider Active NPI

Takeya Neal

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1922876358
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1632095 Issued in DC
Practice address
3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511
Phone
(302) 278-0026
NPI assigned
Dec 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1632095 DE
School Counselor 101YS0200X 1632095 DC
Mental Health Counselor 101YM0800X 1632095 DC Primary

Addresses

Primary practice location

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511

Mailing address

2616 Zebley PL
Wilmington, DE 19802-3479
Phone (302) 332-8063

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

State licenses

LicenseStateTypeSpecialty
1632095DEMDCounselor
1632095DCMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Elevation LLC Mental Health CurrentSince Dec 17, 2023 Accepting new patients

Locations

3700 Lancaster Pike
Ste 305
Wilmington, DE 19805
Phone (302) 278-0026

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1922876358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 ZEBLEY PL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023479",
            "telephone_number": "302-332-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LANCASTER PIKE STE 305",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051511",
            "telephone_number": "302-278-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "TAKEYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "1632095",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "DC",
            "license": "1632095",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "1632095",
            "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 Dec 14, 2023; 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.