Individual provider Active NPI

Kenneth Ray Betts, LPCMH

  • Mental Health Counselor
  • Ellendale, DE
National Provider Identifier
1033278262
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC 0000336 Issued in DE
Practice address
12649 Dupont Blvd
Ellendale, DE 19941-3307
Phone
(302) 424-7425
NPI assigned
Dec 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC 0000336 DE Primary

Addresses

Primary practice location

12649 Dupont Blvd
Ellendale, DE 19941-3307

Mailing address

25197 Bethesda Rd
Georgetown, DE 19947-2546
Phone (302) 424-7425

Other identifiers 1

IdentifierTypeStateIssuer
1000036552MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251109000213 DE Practitioner - Mental Health Counselor 7416447248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25197 Bethesda Rd
Georgetown, DE 19947-2546
Phone (302) 430-4148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC 0000336DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling, LLC Mental Health CurrentSince Sep 10, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033278262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25197 BETHESDA RD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472546",
            "telephone_number": "302-424-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12649 DUPONT BLVD",
            "city": "ELLENDALE",
            "state": "DE",
            "postal_code": "199413307",
            "telephone_number": "302-424-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "credential": "LPCMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC 0000336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036552",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellendale, DE

Sources for this page

Verify at the official NPI Registry.