Kelly Plunkert, IMFT, CCTP

Individual provider Active NPI Marriage & Family Therapist · Delmar, DE

NPI 1952837650 · NPPES record last updated Mar 6, 2026

Key facts

NPI
1952837650
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
F.2100187 (OH)
Practice address
10463 Country Grove Cir
Delmar, DE 19940-3487
Phone
(302) 316-3172
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240229000849 OH Practitioner - Marriage and Family Therapist 6305281353 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
FT-0010158DEMDMarriage & Family Therapist
F.2100187OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Phoenix Counseling LLC Current
since Jan 7, 2022
Accepting new patients

Locations

9374 State Route 14
Streetsboro, OH 44241
Phone (216) 816-2005

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F.2100187 OH Yes
Marriage & Family Therapist 106H00000X FT-0010158 DE

Addresses

Primary practice location

10463 Country Grove Cir
Delmar, DE 19940-3487

Mailing address

10463 Country Grove Cir
Delmar, DE 19940-3487
Phone (330) 577-8281

Other practice location 1

9374 State Route 14 Ste 1007
Streetsboro, OH 44241-5224
Phone (330) 577-8281

Other names

  • Kelly Lucas Former name

Other providers in Delmar, DE

All providers in Delmar, DE · Marriage & Family Therapist in Delaware

Sources for this page

Verify at the official NPI Registry.