Organization Active NPI

Counseling Resource Associates, Inc.

  • Counselor
  • Newark, DE
National Provider Identifier
1942350145
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
20547 Issued in DE
Legal business name
COUNSELING RESOURCE ASSOCIATES, INC.
Practice address
117 Larkspur Rd
Newark, DE 19711-6863
Phone
(302) 738-9963
Fax
(302) 995-2121
NPI assigned
Jan 11, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
J. Roy Cannon, LPCMH
Title
Chief Operating Officer
Phone
(302) 738-9963

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 20547 DE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 122 DE
Mental Health Counselor 101YM0800X PC-0000008 DE

Addresses

Primary practice location

117 Larkspur Rd
Newark, DE 19711-6863

Mailing address

117 Larkspur Rd
Newark, DE 19711-6863
Phone (302) 738-9963

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942350145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LARKSPUR RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116863",
            "telephone_number": "302-738-9963",
            "fax_number": "302-995-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LARKSPUR RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116863",
            "telephone_number": "302-738-9963",
            "fax_number": "302-995-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING RESOURCE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "J. ROY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "302-738-9963",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DE",
            "license": "20547",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "122",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.