DIAMOND STATE COUNSELING, LLC (NPI# 1760854590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760854590 |
| Entity Type | Organization |
| Organization Name | DIAMOND STATE COUNSELING, LLC |
| Practice Address |
2644 Kirkwood Highway Suite 250 Newark DE 19711 |
| Practice Telephone | 3026831055 |
| Practice Fax Number | 3026831312 |
| Mailing Telephone | 3026831055 |
| Mailing Fax Number | 3026831312 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | MRS. ELIZABETH M BOWMAN (CEO, PSYCHOTHERAPIST) |
| Authorized Official Telephone | 3026831055 |
| Authorized Official Credential | LPCMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PC-000624 | DE | Agencies |
| Street Address |
2644 KIRKWOOD HIGHWAY SUITE 250 |
| City | NEWARK |
| State | DE |
| Zip Code | 19711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182319 | Katherine Beck | Counselor | 2644 Kirkwood Highway, Suite 320, Newark, DE 19711 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493097 | Cognitive Organics LLC | Community/Behavioral Health | 14 N Park Pl, Newark, OH 43055-5517 | 2020-07-01 |
| 1861023889 | Neighbours-inc | Community/Behavioral Health | 286 Muhammad Ali Ave, Newark, NJ 07108-2016 | 2020-01-29 |
| 1538721824 | Robyn Hope Pavlick | Community/Behavioral Health | 183 S Orange Ave # Leveld, Newark, NJ 07103-2757 | 2019-07-08 |
| 1457910515 | Trdiann J Clement | Community/Behavioral Health | 288 Fairmount Ave, Newark, NJ 07103-2334 | 2019-06-11 |
| 1497224638 | Home Care for You, Inc. | Community/Behavioral Health | 1 Bloomfield Ave Ste 2, Newark, NJ 07104-2547 | 2018-11-16 |
| 1982195400 | Amari Behavioral Health | Community/Behavioral Health | 39 Maiden Ln, Newark, NJ 07102-5800 | 2018-05-21 |
| 1063901015 | Walloflions | Community/Behavioral Health | 402 Mount Prospect Ave Apt 11g, Newark, NJ 07104-2152 | 2018-05-04 |
| 1811485543 | Integrity, Inc. | Community/Behavioral Health | 103 Lincoln Park, Newark, NJ 07102-2388 | 2018-04-27 |
| 1023527496 | Youth Advocate Programs, Inc. | Community/Behavioral Health | 45 Academy St Ste 303, Newark, NJ 07102-2900 | 2017-09-28 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| Find all providers in NEWARK | ||||
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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.