MATTIE COSTILL (NPI# 1346690112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346690112 |
| Entity Type | Individual |
| Full Name | MATTIE COSTILL |
| Credential | LPCMH |
| Practice Address |
17021 Old Orchard Rd Lewes DE 19958-4832 |
| Mailing Address |
782 Hill Ave Aston PA 19014-1110 |
| Practice Telephone | 3027036332 |
| Mailing Telephone | 6106756380 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC-0000714 | DE | Behavioral Health & Social Service Providers |
| Street Address |
17021 OLD ORCHARD RD |
| City | LEWES |
| State | DE |
| Zip Code | 19958-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205923737 | Andrew Richard Collins | Podiatrist | 17021 Old Orchard Rd, Suite 3, Lewes, DE 19958-4832 | 2006-10-06 |
| 1295209104 | Michael Wayne Shanefelter I | Counselor | 17021 Old Orchard Rd, Lewes, DE 19958-4832 | 2019-01-14 |
| 1942776026 | Rosemary Beauregard | Counselor | 17021 Old Orchard Rd, Lewes, DE 19958-4832 | 2018-10-16 |
| 1982108148 | Michael Keith Adkins | Counselor | 17021 Old Orchard Rd, Lewes, DE 19958-4832 | 2018-03-22 |
| 1437505609 | Natalie Engh | Counselor | 17021 Old Orchard Rd, Suite 1, Lewes, DE 19958-4832 | 2016-05-06 |
| 1376933101 | Nicole Luther | Art Therapist | 17021 Old Orchard Rd, Lewes, DE 19958-4832 | 2015-02-02 |
| 1275935660 | Alisha Melesky | Social Worker | 17021 Old Orchard Rd, Suite 4, Lewes, DE 19958-4832 | 2014-09-17 |
| 1659791440 | Delaware Psychological Services LLC | Counselor | 17021 Old Orchard Rd, Suite 4, Lewes, DE 19958-4832 | 2014-04-21 |
| 1164767299 | Restoration | Community/Behavioral Health | 17021 Old Orchard Rd, Lewes, DE 19958-4832 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761699 | Coastal Counseling and Consulting Services LLC | Counselor | 31046 Beaver Circle, Lewes, DE 19958 | 2020-08-19 |
| 1326606765 | Jennifer Brett Gunning | Registered Nurse | Beebe Medical Center 424 Savannah Road, Lewes, DE 19958 | 2019-05-31 |
| 1801398383 | Rachel Veras Barrera | Registered Nurse | 17506 Slipper Shell Way #11, Lewes, DE 19958 | 2018-03-01 |
| 1578076451 | Dr Jeha LLC | Internal Medicine | 16295 Willow Creek Road, Lewes, DE 19958 | 2017-11-14 |
| 1538680277 | Bryan Pepper | Physician Assistant | 1606 Savannah Rd #1, Lewes, DE 19958 | 2017-07-03 |
| 1720447014 | Sharon Collier | Hearing Instrument Specialist | 1632 Savannah Road, Suite 3, Lewes, DE 19958 | 2016-02-16 |
| 1487019725 | Beebe Healthcare | Clinic/Center | 18506 Bellegrove Road, Unit 2, Lewes, DE 19958 | 2015-12-30 |
| 1689048951 | Harold Hazen Johnson Jr. | Physical Therapy Assistant | 17028 Cadbury Cir., Cadbury At Lewes, Lewes, DE 19958 | 2015-11-24 |
| 1649641804 | Pamela Mashewske | Registered Nurse | 1526 Savannah Road, Lewes, DE 19958 | 2015-10-14 |
| 1972998334 | Renee Wood | Registered Nurse | 24 Savannah Road, Lewes, DE 19958 | 2015-04-02 |
| Find all providers in zip 19958 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104488030 | Kate Gehret Ms LLC | Counselor | 17124 Poplar Dr, Lewes, DE 19958-3873 | 2019-07-01 |
| 1427505619 | Jennifer August | Counselor | 17585 Nassau Commons Blvd, Suite #5, Lewes, DE 19958-6286 | 2016-09-06 |
| 1164730610 | Catherine Fly Evans | Counselor | 1143 Savannah Rd, Suite 4, Lewes, DE 19958-1524 | 2010-09-17 |
| 1467764852 | Kathy Jo King | Counselor | 17527 Nassau Commons Blvd, Suite 202, Lewes, DE 19958-6283 | 2010-07-14 |
| 1588802326 | Open Heart Studio LLC | Counselor | 32191 Nassau Rd, Suite 3, Lewes, DE 19958-3762 | 2009-02-02 |
| 1548425663 | Cleveland Carroll Ray | Counselor | 17527 Nassau Commons Blvd Ste 101, Lewes, DE 19958-6283 | 2008-07-29 |
| 1184823213 | Eileen M Baker | Counselor | 1800 Bay Ave, Lewes, DE 19958-1859 | 2007-07-18 |
| 1306483698 | Charlotte C Phillips | Counselor | 20684 John J Williams Hwy, Lewes, DE 19958 | 2019-12-05 |
| 1861037541 | Jessica Wood | Counselor | 17021 Old Orchard Rd Unit 1, Lewes, DE 19958-4832 | 2019-11-17 |
| 1770066235 | Sheryl Karen Bender | Counselor | 31168 Learning Ln, Lewes, DE 19958-3685 | 2018-09-11 |
| Find all providers in LEWES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.