Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY KRISTINE ROSE LCMHC
NPI 1013583459
Counselor - Professional in Wilmington, NC

Active since May 27, 2021
202 S 5TH AVE, WILMINGTON, NC 28401(919) 896-0214(866) 404-5107 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, May 27, 2021 (2 updates tracked since 2021).

About Kelly Kristine Rose Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KRISTINE ROSE LCMHC (NPI 1013583459) is an individual professional provider in Wilmington, North Carolina, licensed in North Carolina (16725) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1013583459
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY KRISTINE ROSECredential: LCMHC
Location Address202 S 5TH AVEWilmington, NC 28401-5494
Mailing Address202 S 5th AveWilmington, NC 28401-5494 · (919) 896-0214 · Fax (866) 404-5107
Fax(866) 404-5107
Sole ProprietorNo
Enumeration DateMay 27, 2021
Last NPPES UpdateOctober 27, 20262 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1013583459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 16725
202 S 5TH AVE, Wilmington, NC 28401

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
202 S 5TH AVE
WILMINGTON, NC 28401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Rose's NPI number?

The NPI number for Kelly Rose is 1013583459. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Kelly Rose located?

Kelly Rose practices at 202 S 5th Ave, Wilmington, NC 28401. The listed phone number is (919) 896-0214.

What is Kelly Rose's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kelly Rose accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Rose was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.