NPIMap

Organization Active NPI

Middletown Counseling Incorporated

  • Mental Health Counselor
  • Middletown, DE
National Provider Identifier
1932245230
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIDDLETOWN COUNSELING INCORPORATED
Practice address
401 N Broad St
Middletown, DE 19709-1037
Phone
(302) 370-0621
Fax
(302) 376-6219
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Sandra Lee Knauer-King, LCSWNPI 1033106323
Title
Practice Owner-Ceo
Phone
(302) 376-0621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

401 N Broad St
Middletown, DE 19709-1037

Mailing address

401 N Broad St
Middletown, DE 19709-1037
Phone (302) 370-0621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000284 DE Part B Supplier - Clinic/Group Practice 5698723203 Receives reassigned benefits from 4 practitioners
Practice locations: Middletown, DE

National Provider Directory

National Provider Directory

Locations

401 N Broad St
Middletown, DE 19709
Phone (302) 376-0621

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1932245230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091037",
            "telephone_number": "302-370-0621",
            "fax_number": "302-376-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BROAD ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091037",
            "telephone_number": "302-370-0621",
            "fax_number": "302-376-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN COUNSELING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "KNAUER-KING",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE OWNER-CEO",
        "authorized_official_telephone_number": "302-376-0621",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.