Individual provider Active NPI

Kenneth L Phillips

  • Professional Counselor
  • Dover, DE
National Provider Identifier
1194221408
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC0000857 Issued in DE
Practice address
1198 S Governors Ave Ste 201
Dover, DE 19904-6930
Phone
(302) 382-8698
Fax
(302) 269-3800
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 PC0000857 DE Primary

Addresses

Primary practice location

1198 S Governors Ave Ste 201
Dover, DE 19904-6930

Mailing address

1198 S Governors Ave Ste 201
Dover, DE 19904-6930
Phone (302) 382-8698

Other practice location 1

204 W Arlington Blvd Ste a
Greenville, NC 27834-5762
Phone (302) 382-8698

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
I20240311003606 DE Practitioner - Mental Health Counselor 8729424866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Mental Edge Counseling, LLC 21 clinicians

Practice addresses (Care Compare)

1198 S Governors Ave
Suite 201
Dover, DE 19904-6930
Phone (302) 382-8698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC0000857DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Edge Counseling, LLC Professional CurrentSince Feb 1, 2024 Accepting new patients
Mental Edge Counseling PLLC PastSince Dec 3, 2023 Accepting new patients

Locations

1198 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 382-8698

1058 S Governors Ave
#102
Dover, DE 19904
Phone (302) 382-8698

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1194221408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046930",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W ARLINGTON BLVD STE A",
            "address_purpose": "LOCATION",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345762",
            "country_code": "US",
            "telephone_number": "302-382-8698",
            "fax_number": "302-269-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KENNETH",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0000857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.