Kerrie Ann King, LPC10206

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC-0011747 Issued in DE

Practice address

24077 Country Living Rd Ste 2
Millsboro, DE 19966-3188

Phone

(302) 224-1400

Fax

(302) 224-1402

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lighthouse Counseling Christian Ministry, LLC

  • Professional Counselor
  • Berlin, MD
  • NPI 1104272426

  DE

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1013790682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING RD STE 2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663188",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING RD STE 2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663188",
            "telephone_number": "302-224-1400",
            "fax_number": "302-224-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 Regency Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953088",
            "country_code": "US",
            "telephone_number": "240-427-3554",
            "fax_number": "240-419-2556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "KERRIE",
        "middle_name": "ANN",
        "credential": "LPC10206",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14720",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence W Kemp, M.D.
• Alicia Kendorski, LPCMH
• Joanna Esam Talib Khatib, M.D
• Taylor Killean
• Jonathan King
• Michal Klek, M.D.
• Angela Erin Knotts, FNP
• Wilson Kokroko, PHARMD
• Brian Louis Kragler Sr.
• Jessica Ann Kroboth, DPT

• Mental Health Counselor in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Mental Health Counselor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.