Active NPI
Kelly J. Ace, MS, PHD
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1992925440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0001012
- Practice address
- 6 N Stuyvesant Dr
Wilmington, DE 19809-3420 - Phone
- (267) 934-3242
- NPI assigned
- Apr 26, 2007
- Last updated
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2775 | NC | |
| Professional Counselor | 101YP2500X | 2716 | PA | |
| Specialist | 174400000X | |||
| Health Educator | 174H00000X | |||
| Mental Health Counselor | 101YM0800X | PC-0001012 | DE | Primary |
Addresses
Primary practice location
6 N Stuyvesant Dr
Wilmington, DE 19809-3420
Mailing address
6 N Stuyvesant Dr
Wilmington, DE 19809-3420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0001012 | DE | MD | Mental Health Counselor |
| 2775 | NC | MD | Professional Counselor |
| 2716 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvin Behavioral Health Ma PC | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1992925440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N STUYVESANT DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198093420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N STUYVESANT DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198093420",
"telephone_number": "267-934-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACE",
"first_name": "KELLY",
"middle_name": "J.",
"credential": "MS, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2775",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "2716",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0001012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- Academia Antonia Alonso
- Access Caregivers Services
- Gabriela Accetta Rojas, MD, MAS
- Ace Healthcare Services LLC
- Ace Home Care, LLC
- Rajni Kumari Acharya, O.D.
- Davi-Lue Achu
- Acme Markets Inc (Acme Pharmacy #0872)
- Actavis Group Corp
- Acts Retirement-Life Communities, Inc. (Primary Care Services at Country House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.