MR. KEITH KENDALL KAUT LPCMH NPI 1518064989

Counselor in Wilmington, DE

About KEITH KAUT

Keith Kaut is a provider in Wilmington, DE. The NPI number assigned to this provider is 1518064989. The practitioner's primary taxonomy code is Counselor (101Y00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1518064989

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. KEITH KENDALL KAUT LPCMH
Provider Location Address18C TROLLEY SQ WILMINGTON, DE 19806 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address18-C TROLLEY SQUARE WILMINGTON, DE 19806 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code101Y00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.PC-0000155
License StateDE
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.

Business Address

MR. KEITH KENDALL KAUT LPCMH
18C TROLLEY SQ
WILMINGTON, DE
ZIP 19806
Phone: (302) 655-6506
Fax: (302) 655-6565

Map Location


Google Map

Get Directions

Mailing Address

MR. KEITH KENDALL KAUT LPCMH
18-C TROLLEY SQUARE
WILMINGTON, DE
ZIP 19806
Phone: (302) 655-6506
Fax: (302) 655-6565

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1000024668MEDICAID (05)DE

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396904652MRS. MARIANN WOLSKEE MSW, LCSW
Individual
Social Worker (Clinical)18C TROLLEY SQ
WILMINGTON, DE 19806
(302) 290-2774
1740373034DR. DORILYN ENGLISH PHD
Individual
Psychologist (Clinical)18C TROLLEY SQ
WILMINGTON, DE 19806
(302) 655-6506
1922217462DR. HARVEY G DOPPELT PH.D.
Individual
Psychologist (Cognitive & Behavioral)18C TROLLEY SQ
WILMINGTON, DE 19806
(302) 757-1097
Previous NPI
1518064971
Next NPI
1518064997