| Open Minds Therapy | |
|
11 Riptide Ct Frederica DE 19946-2112 | |
| (302) 751-2003 | |
| Not Available |
| Full Name | Open Minds Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 11 Riptide Ct, Frederica, Delaware |
| Authorized Official Name and Position | Kevin Peterson Daniels (OWNER) |
| Authorized Official Contact | 3027512003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Minds Therapy 2206 Old Emmorton Road Suite 100 Box 322 Bel Air MD 21015 Ph: (302) 751-2003 | Open Minds Therapy 11 Riptide Ct Frederica DE 19946-2112 Ph: (302) 751-2003 |
| NPI Number | 1821870916 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 07/25/2026 |
| Certification Date | 07/25/2026 |
| Medicare PECOS PAC ID | 0941659437 |
|---|---|
| Medicare Enrollment ID | O20231208002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821870916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Kevin P Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922726454 PECOS PAC ID: 1557717436 Enrollment ID: I20231030000307 |
| Provider Name | Geneva Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043868680 PECOS PAC ID: 0244673754 Enrollment ID: I20240212001346 |
| Provider Name | Terrence D Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609622968 PECOS PAC ID: 2466994694 Enrollment ID: I20240604000554 |
| Provider Name | Jillian Wiggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235963349 PECOS PAC ID: 1355872698 Enrollment ID: I20240927000634 |
| Provider Name | Elizabeth Scheer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548142581 PECOS PAC ID: 9638646276 Enrollment ID: I20260430003029 |
| Provider Name | Jeremy Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073483889 PECOS PAC ID: 8527551746 Enrollment ID: I20260522003459 |
Pamela Shockley, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hudson Branch Dr, Frederica, DE 19946 Phone: 302-359-6777 |