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Indeya Chavis , LPCMH

Counselor β€’ Middletown, DE

Active NPI 1710480330 Individual Practitioner Female Practitioner
Practice location in NPPES

1086 Wickersham Way
Middletown, DE 197091800

Call 3023777176 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1086 Wickersham Way

Middletown, DE 197091800

Telephone 3023777176
Organization at the Same NPPES Address or Phone
Self Care Therapeutics Llc Facility NPI 1750023917

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Middletown and Delaware

5 active clinicians are listed under Counselor with a practice address in Middletown, DE (142 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES DE PC-0000856

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES DE PC-0000856
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 24, 2024

Registered at 1086 WICKERSHAM WAY, MIDDLETOWN, DE 197091800 (Tel: 3023777176)

πŸ“
Updated Business Mailing Address January 24, 2024

Registered at 1086 WICKERSHAM WAY, MIDDLETOWN, DE 197091800 (Tel: 3023777176)

βœ…
NPI Profile Active March 09, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2018

Registered at 910 S CHAPEL ST, NEWARK, DE 197133467 (Tel: 3022241400)

πŸ“
Business Mailing Address (Initial Record) March 09, 2018

Registered at 710 DEEMERS LNDG, NEW CASTLE, DE 197207212

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2018

Recorded as INDEYA CHAVIS, LPCMH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Counselor (license number reported to NPPES: DE PC-0000856)

🟒
Initial NPI Registration & Enumeration March 09, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710480330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2018
Last Update: January 24, 2024
Sole Proprietor: Yes

Mailing Address

1086 Wickersham Way

Middletown, DE 197091800

Phone: 3023777176

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.