Active NPI
Kenneth L Phillips
- Professional Counselor
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC0000857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC0000857 | DE | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Edge Counseling, LLC | Professional | Current | Accepting new patients |
| Mental Edge Counseling PLLC | Past | 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.
-
- Mental Health Counselor
- Greenville, NC
- NPI 1922874247
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
- Jessica Rochelle Pfeiffer
- Christina Elizabeth Phelan-Bajana, FNP-BC
- Regis Paul Phelan, PA-C
- Chloe Walsh Philip, DDS
- Gayleen Philips
- Viviane Philmon, ED.D.
- Morris James Phinnessee, LPCMH
- Phoenix Behavioral Health Services
- Phoenix Behavioral Health Services, Inc
- Phoenix Rehabilitation and Health Services of Delaware Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.