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Provider Profile

Kim Ellen, M.A., L.P.C.

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At a glance

About Kim Ellen

Kim Ellen, M.A., L.P.C. is a counselor practicing in Wilmington, NC. Kim is also listed as specializing in addiction & substance abuse counselor. This provider record is associated with NPI 1205025079.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2004

Specialty

Credentials & Licensing

NC licenceAs reported to the NPI registry
No. 7567As reported
MI licenceAs reported to the NPI registry
No. 6401009255As reported
NPINational Provider Identifier
1205025079Issued 2007

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kim Ellen, M.A. specialize in?

Kim Ellen, M.A. is a counselor in Wilmington, NC. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kim Ellen, M.A. located?

Kim Ellen, M.A. is listed at 615 Shipyard Blvd, Wilmington, NC 28412. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kim Ellen, M.A.'s phone number?

The number on file is (910) 343-0145. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kim Ellen, M.A.?

Kim Ellen, M.A.'s National Provider Identifier is 1205025079. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kim Ellen, M.A. train?

Kim Ellen, M.A. attended Other, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kim Ellen, M.A. have?

Kim Ellen, M.A. has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

Is Kim Ellen, M.A.'s profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kim Ellen, M.A.. If this is you, claiming it is free.

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