Individual provider Active NPI

Nickisha Yvette Lingham, PHD

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1982480174
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
Q3-0000061 Issued in DE
Practice address
256 Chapman Rd Ste 203
Newark, DE 19702-5415
Phone
(302) 307-6558
Fax
(302) 269-1731
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Q3-0000061 DE Primary

Addresses

Primary practice location

256 Chapman Rd Ste 203
Newark, DE 19702-5415

Mailing address

256 Chapman Rd Ste 203
Newark, DE 19702-5415
Phone (302) 307-6558

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
Q3-0000061DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Viamontie Counseling and Consulting Service LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

256 Chapman Rd
Ste 203
Newark, DE 19702
Phone (302) 307-6558

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1982480174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 CHAPMAN RD STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025415",
            "telephone_number": "302-307-6558",
            "fax_number": "302-269-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 CHAPMAN RD STE 203",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025415",
            "telephone_number": "302-307-6558",
            "fax_number": "302-269-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGHAM",
        "first_name": "NICKISHA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "Q3-0000061",
            "primary": true
        }
    ],
    "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 5, 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.