Healing Source LLC
NPI 1194364141ActiveOrganization· Counselor, Mental Health· Newark, DE
Counselor, Mental Health in Newark, Delaware, registered in NPPES in December 2019. The authorized official on file is Jodi Willems, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194364141 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2019 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DE) |
|---|
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