Individual provider Active NPI

Jacqueline Riegel Kairis, LPC

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1508409137
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC0000997 Issued in DE
Practice address
3411 Silverside Rd
Wilmington, DE 19810-4812
Phone
(302) 897-7887
Fax
(302) 416-5100
NPI assigned
Oct 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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 PC0000997 DE Primary

Addresses

Primary practice location

3411 Silverside Rd
Wilmington, DE 19810-4812

Mailing address

911 Cecil Rd
Wilmington, DE 19807-2817
Phone (302) 897-7887

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
I20250902002022 DE Practitioner - Mental Health Counselor 3173024080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3411 Silverside Rd
Wilmington, DE 19810-4812
Phone (302) 897-7887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC0000997DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline R Kairis Counseling CurrentSince Jun 16, 2025 Accepting new patients

Locations

3411 Silverside Rd
Ste 109
Wilmington, DE 19810
Phone (302) 478-6525

3411 Silverside Rd
Wilmington, DE 19810
Phone (302) 478-5240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1508409137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 CECIL RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072817",
            "telephone_number": "302-897-7887",
            "fax_number": "302-416-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104812",
            "telephone_number": "302-897-7887",
            "fax_number": "302-416-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRIS",
        "first_name": "JACQUELINE",
        "middle_name": "RIEGEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.