Individual provider Active NPI

Rachael Kery, LPCMH, NCC

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1154066280
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC-0011139 Issued in DE
Practice address
1104 N Adams St
Wilmington, DE 19801-1327
Phone
(302) 655-1153
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC-0011139 DE Primary

Addresses

Primary practice location

1104 N Adams St
Wilmington, DE 19801-1327

Mailing address

PO Box 1306
Wilmington, DE 19899-1306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011139DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limen House, Inc CurrentSince May 8, 2022 Accepting new patients
Triad Ministry Inc CurrentSince May 8, 2022 Accepting new patients

Locations

1104 N Adams St
Wilmington, DE 19801
Phone (302) 655-1153

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1154066280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198991306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N ADAMS ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011327",
            "telephone_number": "302-655-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERY",
        "first_name": "RACHAEL",
        "credential": "LPCMH, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.