Individual provider Active NPI

Kelly Lynn Ferraro, M.S.,LPC,NCC

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1780867580
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6802 Issued in NC
Practice address
405 Foulk Rd
Wilmington, DE 19803-3809
Phone
(302) 545-7900
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6802 NC Primary
Professional Counselor 101YP2500X PC-0000443 DE

Addresses

Primary practice location

405 Foulk Rd
Wilmington, DE 19803-3809

Mailing address

405 Foulk Rd
Wilmington, DE 19803-3809
Phone (302) 545-7900

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
I20241217001564 NC Practitioner - Mental Health Counselor 1153858089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Olive Tree Family Counseling, PLLCGroup PAC ID 3274979612, 11 clinicians

Practice addresses (Care Compare)

1301 McCarthy Blvd
Suite B
New Bern, NC 28562-2033
Phone (252) 649-2728

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC-0000443DEMDProfessional Counselor
6802NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Tree Family Counseling, PLLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

2800 Neuse Blvd
Ste 10
New Bern, NC 28562
Phone (252) 285-4726

112 Market St
New Bern, NC 28560
Phone (252) 649-2728

1301 McCarthy Blvd
#B
New Bern, NC 28562
Phone (252) 649-2728

2800 Neuse Blvd
#10
New Bern, NC 28562
Phone (252) 514-1635

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": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1780867580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033809",
            "telephone_number": "302-545-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 FOULK RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033809",
            "telephone_number": "302-545-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.S.,LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6802",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0000443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.