KENNETH L PHILLIPS
NPI 1194221408
Counselor - Professional in Dover, DE

Q: What is Kenneth Phillips's NPI number?

The NPI number for Kenneth Phillips is 1194221408. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Kenneth Phillips's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Phillips was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since April 04, 2018PECOS Enrolled

1198 S GOVERNORS AVE STE 201, DOVER, DE 19904(302) 382-8698(302) 269-3800 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth L Phillips NPPES

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

KENNETH L PHILLIPS (NPI 1194221408) is an individual professional provider in Dover, Delaware, licensed in Delaware (PC0000857) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194221408

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKENNETH L PHILLIPS

Location Address1198 S GOVERNORS AVE STE 201Dover, DE 19904-6930

Mailing Address1198 S Governors Ave Ste 201Dover, DE 19904-6930 · (302) 382-8698 · Fax (302) 269-3800

Phone(302) 382-8698

Fax(302) 269-3800

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateApril 4, 2018

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1194221408 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 DE · PC0000857

1198 S GOVERNORS AVE STE 201, Dover, DE 19904

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Secondary Practice Location 1

Location 1204 W ARLINGTON BLVD STE AGREENVILLE, NC 27834-5762 · Phone (302) 382-8698 · Fax (302) 269-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth L Phillips is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729424866

PECOS Enrollment IDI20240311003606

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

TARYN RUSSO LCSW

Social Worker (Clinical)