KENT/SUSSEX COMMUNITY MENTAL HEALTH CENTER
NPI 1104871920
Clinic/Center - Mental Health (Including Community Mental Health Center) in Dover, DE

Active since May 23, 2006

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kent/sussex Community Mental Health Center NPPES

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

KENT/SUSSEX COMMUNITY MENTAL HEALTH CENTER (NPI 1104871920) is a healthcare organization registered as a mental health (including community mental health center) in Dover, Delaware and active in the NPI registry since May 2006. The organization lists Stanley J Kotula, Medical Director/director Of Clinic, as its authorized official.

NPPES Registry Identity

NPI1104871920
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSTATE OF DELAWARE
Location Address805 RIVER RDDover, DE 19901-3753
Mailing Address10 Sw Front StMilford, DE 19963-1948 · (302) 422-1422
Organization SubpartNo
Authorized OfficialStanley J KotulaMedical Director/director Of Clinic · (302) 576-6093
Enumeration DateMay 23, 2006
Last NPPES UpdateFebruary 25, 2020
✔ NPI 1104871920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
805 RIVER RD, Dover, DE 19901

Other Names 1

Doing Business AsKent/sussex Community Mental Health Center

Other Identifiers 1

Medicaid0000609824DE

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kent/sussex Community Mental Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Kent/Sussex Community Mental Health Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1831997170
100 SUNNYSIDE RD
Smyrna, DE 19977
(302) 223-1000
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1043027931
1540 E MATISSE DR
Middletown, DE 19709
(302) 559-3666
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1295990588
700 FOULK RD
Wilmington, DE 19803
(302) 897-7900
✔ PECOS✔ Accepts Medicare44 mi
Family Practice
NPI 1134104805
726 YORKLYN RD SUITE 100
Hockessin, DE 19707
(302) 234-5770
✔ PECOS✔ Accepts Medicare45 mi
Family Practice
NPI 1053398461
726 YORKLYN RD SUITE 100
Hockessin, DE 19707
(302) 234-5770
✔ PECOS45 mi
Internal Medicine
NPI 1033134234
224 PHILLIP MORRIS DR
Salisbury, MD 21804
(410) 831-3174
✔ PECOS✔ Accepts Medicare54 mi
Emergency Medicine
NPI 1851379473
ONE COOPER PLAZA COOPER UNIVERISITY EMERGENCY PHYSICIANS
Camden, NJ 08103
(856) 342-2930
✔ PECOS✔ Accepts Medicare58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 State Of Delaware's NPI number?

The NPI number for State Of Delaware is 1104871920. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Kent/Sussex Community Mental Health Center.

Where is State Of Delaware located?

State Of Delaware is located at 805 River Rd, Dover, DE 19901. The listed phone number is (302) 739-4275.

What is State Of Delaware's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is State Of Delaware enrolled in Medicare?

Yes. State Of Delaware is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Delaware?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to State Of Delaware, in Emergency Medicine, Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for State Of Delaware was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.