Individual provider Active NPI

Andre Haley, PH.D., LCDP, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • New Castle, DE
National Provider Identifier
1962895318
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CD-0000100 Issued in DE
Practice address
19 Lambson LN # B-102
New Castle, DE 19720-2118
Phone
(302) 337-5513
NPI assigned
Mar 10, 2015
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1460 DE
Addiction (Substance Use Disorder) Counselor 101YA0400X CD-0000100 DE Primary
Mental Health Counselor 101YM0800X APC001866 PA
Social Worker 104100000X Q3-0000164 DE
Behavior Analyst 103K00000X BH004301 PA

Addresses

Primary practice location

19 Lambson LN # B-102
New Castle, DE 19720-2118

Mailing address

3113 N Van Buren St
Wilmington, DE 19802-2939
Phone (302) 563-8399

Other practice location 1

623 W Newport Pike
Wilmington, DE 19804-3235
Phone (302) 777-5483

Other practice location 2

3113 N Van Buren St
Wilmington, DE 19802-2939
Phone (302) 563-8399

Other practice location 3

25 S Old Baltimore Pike
Newark, DE 19702-1540
Phone (610) 447-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521003286 DE Practitioner - Mental Health Counselor 2961896683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Lambson LN
Suite B102
New Castle, DE 19720-2118
Phone (302) 563-8399

3113 N Van Buren St
Wilmington, DE 19802-2939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1460DEMDAddiction (Substance Use Disorder) Counselor
CD-0000100DEMDAddiction (Substance Use Disorder) Counselor
APC001866PAMDMental Health Counselor
BH004301PAMDBehavioral Analyst
Q3-0000164DEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avh Group Addiction (Substance Use Disorder) CurrentSince May 16, 2024 Accepting new patients
2ND Chance Promise Program CurrentSince Oct 8, 2023 Accepting new patients

Locations

19 Lambson Ln
Ste B102
New Castle, DE 19720
Phone (302) 337-5513

Organizations & group practices 2

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1962895318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 N VAN BUREN ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022939",
            "telephone_number": "302-563-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAMBSON LN # B-102",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202118",
            "telephone_number": "302-337-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 W Newport Pike",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198043235",
            "country_code": "US",
            "telephone_number": "302-777-5483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3113 N Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198022939",
            "country_code": "US",
            "telephone_number": "302-563-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 S Old Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197021540",
            "country_code": "US",
            "telephone_number": "610-447-5490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCDP, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "1460",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DE",
            "license": "CD-0000100",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "APC001866",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DE",
            "license": "Q3-0000164",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.