MR. CLETUS LEON DELLER LMHC INTERN
NPI 1912204470
Counselor - Mental Health in Fernandina Beach, FL

Q: What is Cletus Deller's NPI number?

The NPI number for Cletus Deller is 1912204470. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Q: What is Cletus Deller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Cletus Deller was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 18, 2011

96173 PINEY ISLAND DR, FERNANDINA BEACH, FL 32034(772) 321-3306 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Cletus Leon Deller Lmhc Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLETUS LEON DELLER LMHC INTERN (NPI 1912204470) is an individual mental health provider in Fernandina Beach, Florida, licensed in Florida (MH10772) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1912204470

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. CLETUS LEON DELLERCredential: LMHC INTERN

Location Address96173 PINEY ISLAND DRFernandina Beach, FL 32034-0858

Mailing Address96173 Piney Island DrFernandina Beach, FL 32034-0858 · (772) 321-3306

Phone(772) 321-3306

Sole ProprietorYes

Enumeration DateFebruary 18, 2011

Last NPPES UpdateJuly 5, 2011

✔ NPI 1912204470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH10772

96173 PINEY ISLAND DR, Fernandina Beach, FL 32034

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Other Identifiers 1

OtherMH10772FL · Mental Health License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cletus Deller's NPI number?

The NPI number for Cletus Deller is 1912204470. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Where is Cletus Deller located?

Cletus Deller practices at 96173 Piney Island Dr, Fernandina Beach, FL 32034. The listed phone number is (772) 321-3306.

What is Cletus Deller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Cletus Deller accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Cletus Deller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cletus Deller was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.