Kim Ellen, M.A., L.P.C.
NPI 1205025079 · Counselor · Wilmington, NC
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kim Ellen, M.A., L.P.C. is a Counselor provider in Wilmington, NC (NPI 1205025079).
Provider details
- NPI number
- 1205025079
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- M.A., L.P.C.
- Sex
- Female
- Sole proprietor
- No
- License
- 6401009255 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2009-12-16
Frequently asked questions
- What is Kim Ellen's NPI number?
- Kim Ellen's National Provider Identifier (NPI) is 1205025079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Ellen's specialty?
- Kim Ellen is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kim Ellen located?
- Kim Ellen's practice location on file with NPPES is 615 Shipyard Blvd, Wilmington, NC 28412-6431.
- What is Kim Ellen's phone number?
- The practice phone number listed in the NPPES registry for Kim Ellen is (910) 343-0145.
- Does Kim Ellen accept Medicare?
- Kim Ellen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kim Ellen's NPI active?
- Yes — Kim Ellen's NPI (1205025079) is active in the NPPES registry as of the last update on 2009-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.