KELLY BROADWATER PICKELL MA, LPA, LPC, CEDS
NPI 1881786945
Psychologist in Wilmington, NC

Active since September 28, 2006
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403(910) 790-9500(910) 796-8111 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Broadwater Pickell Ma, Lpa, Lpc, Ceds NPPES

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

KELLY BROADWATER PICKELL MA, LPA, LPC, CEDS (NPI 1881786945) is an individual psychologist in Wilmington, North Carolina, licensed in North Carolina (2481) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1881786945
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLY BROADWATER PICKELLCredential: MA, LPA, LPC, CEDS
Location Address3240 BURNT MILL DR, SUITE 1Wilmington, NC 28403-2576
Mailing Address3240 Burnt Mill Dr, Suite 1Wilmington, NC 28403-2576 · (910) 790-9500 · Fax (910) 796-8111
Fax(910) 796-8111
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 28, 2015
NPI 1881786945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 2481
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3240 BURNT MILL DR, Wilmington, NC 28403

Other Names 1

Professional Name (2)Kelly Broadwater Ma, Lpa, Lpc, Ceds

Other Identifiers 1

Other046XANC · Bcbs

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Community/Behavioral Health
3240 BURNT MILL DR
WILMINGTON, NC 28403
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3240 BURNT MILL DR, SUITE 5
WILMINGTON, NC 28403
Specialist
3240 BURNT MILL DR, SUITE 9
WILMINGTON, NC 28403
Psychologist (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Dietitian, Registered
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
3240 BURNT MILL DR, SUITE 1
WILMINGTON, NC 28403

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 Pickell's NPI number?

The NPI number for Kelly Pickell is 1881786945. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Kelly Pickell located?

Kelly Pickell practices at 3240 Burnt Mill Dr Suite 1, Wilmington, NC 28403. The listed phone number is (910) 790-9500.

What is Kelly Pickell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Kelly Pickell accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kelly Pickell 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 Pickell was last updated on July 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.