Individual provider Active NPI

Kelly J. Ace, MS, PHD

  • Mental Health Counselor
  • Wilmington, DE
National Provider Identifier
1992925440
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0001012 Issued in DE
Practice address
6 N Stuyvesant Dr
Wilmington, DE 19809-3420
Phone
(267) 934-3242
NPI assigned
Apr 26, 2007
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PC-0001012DEMDMental Health Counselor
2775NCMDProfessional Counselor
2716PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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

Sources for this page

Verify at the official NPI Registry.