Individual provider Active NPI

Penelope Pitts, PHD

  • Mental Health Counselor
  • Millsboro, DE
National Provider Identifier
1649628637
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0000751 Issued in DE
Practice address
117 Main St Unit 1-2
Millsboro, DE 19966-8410
Phone
(302) 663-7790
Fax
(302) 487-0577
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X PC-0000751 DE Primary
Professional Counselor 101YP2500X PC-0000751 DE

Addresses

Primary practice location

117 Main St Unit 1-2
Millsboro, DE 19966-8410

Mailing address

PO Box 441
Frankford, DE 19945-0441
Phone (302) 663-7790

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
I20240123000082 DE Practitioner - Mental Health Counselor 8022460351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Main St
Unit 1 2
Millsboro, DE 19966-8410
Phone (302) 663-7790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PC-0000751DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seek Peace Counseling Service LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Fellowship Health Resources, Inc Single Specialty Past Accepting new patients

Locations

117 Main St
Unit 12
Millsboro, DE 19966
Phone (302) 663-7790

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1649628637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199450441",
            "telephone_number": "302-663-7790",
            "fax_number": "302-487-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST UNIT 1-2",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199668410",
            "telephone_number": "302-663-7790",
            "fax_number": "302-487-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "PENELOPE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0000751",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.