Individual provider Active NPI

Rachel Kilgore, MED,NCC, LPCA, LCASA

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1619387297
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
S10748 Issued in NC
Practice address
2425 S 17TH St
Wilmington, NC 28401-7903
Phone
(704) 649-1025
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A20282 NC
Mental Health Counselor 101YM0800X A10748 NC
Mental Health Counselor 101YM0800X S10748 NC Primary

Addresses

Primary practice location

2425 S 17TH St
Wilmington, NC 28401-7903

Mailing address

2425 S 17TH St
Wilmington, NC 28401-7903
Phone (704) 649-1025

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240521002458 NC Practitioner - Mental Health Counselor 6800238916 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
A10748NCMDMental Health Counselor
A20282NCMDMental Health Counselor
S10748NCMDMental Health Counselor
10748NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rha Behavioral Health NC LLC CurrentSince Apr 7, 2024 Accepting new patients
Lifesource of North Carolina CurrentSince Feb 20, 2025 Accepting new patients
Rha Health Services, Inc. CurrentSince Apr 7, 2024 Accepting new patients
Rha Health Services, Inc CurrentSince Apr 7, 2024 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Lifesource of North Carolina CurrentSince Feb 20, 2025 Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Apr 7, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

189 Samaritans Ridge Rd
Ste U101
Elkin, NC 28621

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

1920 S 16th St
Wilmington, NC 28401
Phone (910) 632-2191

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Organizations & group practices 7

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1619387297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017903",
            "telephone_number": "704-649-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017903",
            "telephone_number": "704-649-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284032565",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "RACHEL",
        "credential": "MED,NCC, LPCA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "A20282",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10748",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S10748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.