Active NPI
Lauren Kelley
- Mental Health Counselor
- Newark, DE
National Provider Identifier
1891377859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1423 Capitol TRL
Newark, DE 19711-5709 - Phone
- (833) 886-2277
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1423 Capitol TRL
Newark, DE 19711-5709
Mailing address
3821 Lancaster Pike
Wilmington, DE 19805-1512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689733792 | Medicaid | DE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkelley@connectionscsp.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Community Support Programs, Inc. | Current | Accepting new patients |
Locations
1423 Capitol Trl
Newark, DE 19711
Phone (302) 454-7520
3821 Lancaster Pike
Wilmington, DE 19805
Phone (302) 442-6622
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wilmington, DE
- NPI 1689733792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1891377859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 LANCASTER PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198051512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CAPITOL TRL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197115709",
"telephone_number": "833-886-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689733792",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkelley@connectionscsp.org",
"affiliation": "N",
"address_1": "1423 Capitol Trl",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197115709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.