Kim Ellen, MA, LPC

  • Wilmington, NC
  • Counselor
NPI1205025079PAC ID5799275129
Affiliated sites
1
Medical group
1
State licenses
2
Year NPI issued
2007
Practice locations
2
Practice address
3240 Burnt Mill Dr Suite 1 Suite 1, Wilmington, NC 28403-2570
Practice phone
Call (910) 790-9500
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

Chrysalis Center For Counseling And Eating Disorder Treatment

Behavioral health practice · Wilmington, North Carolina

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Kim Ellen is a counselor in Wilmington, North Carolina

Kim Ellen practices at Chrysalis Center For Counseling And Eating Disorder Treatment in Wilmington, North Carolina.

Kim Ellen's NPI, 1205025079, was assigned on October 17, 2007. Kim Ellen holds Michigan license 6401009255.

NPI and contact details
Medicare PAC ID
5799275129
NPI enumeration date
October 17, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(910) 790-9500
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Kim Ellen practices at 2 locations in Wilmington, North Carolina

Kim Ellen's primary practice is Chrysalis Center for Counseling and Eating Disorder Treatment, at 3240 Burnt Mill Dr Suite 1 Suite 1, Wilmington, NC 28403-2570. The practice phone is (910) 790-9500. The NPI Registry lists Kim Ellen's practice address as 615 Shipyard Blvd, Wilmington, NC 28412.

  • Chrysalis Center for Counseling and Eating Disorder TreatmentPrimary
    3240 Burnt Mill Dr Suite 1 Suite 1, Wilmington, NC 28403-2570Phone(910) 790-9500
  • NPI Registry address
    615 Shipyard Blvd, Wilmington, NC 28412Phone(910) 343-0145

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Kim Ellen is affiliated with 1 site of care and 1 medical group

Kim Ellen's primary practice is Chrysalis Center For Counseling And Eating Disorder Treatment in Wilmington, North Carolina. The medical group on file is Chrysalis Center for Counseling & Eating Disorder Treatment.

Chrysalis Center For Counseling And Eating Disorder TreatmentBehavioral health practice · Wilmington, North CarolinaPrimary
Chrysalis Center for Counseling & Eating Disorder TreatmentBehavioral and mental health group, Wilmington, NC

Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dmand AI tracks the EHR system at Kim Ellen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kim Ellen practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Chrysalis Center For Counseling And Eating Disorder TreatmentAvailable with a free account

Source: Dmand AI Technology Install Data

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Kim Ellen is one of 182 counselors in North Carolina

Counselor is Kim Ellen's primary specialty in the NPI Registry, under taxonomy code 101Y00000X. Dmand AI has Kim Ellen's licenses on file in 2 states: Michigan and North Carolina.

Specialties and state licenses

  • Counselor, MichiganPrimaryLicense 6401009255 · taxonomy 101Y00000X
  • Addiction (substance use disorder) counselor, North CarolinaLicense 7567 · taxonomy 101YA0400X

Counselors near Kim Ellen

Counts of counselors with a Dmand AI profile, by place and practice. Each opens the list.

182counselors in North Carolina
5counselors in Wilmington

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

How Kim Ellen takes part in Medicare

Kim Ellen accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Sources for Kim Ellen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kim Ellen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kim Ellen's NPI number?

Kim Ellen's NPI number is 1205025079. It was assigned on October 17, 2007, and it is active in the NPI Registry.

What does Kim Ellen specialize in?

Kim Ellen is a counselor in Wilmington, North Carolina. The primary specialty in the NPI Registry is Counselor (taxonomy code 101Y00000X).

Where does Kim Ellen practice?

Kim Ellen practices at 3240 Burnt Mill Dr Suite 1 Suite 1, Wilmington, NC 28403-2570. Kim Ellen also practices at 615 Shipyard Blvd, Wilmington, NC 28412. Kim Ellen's primary practice is Chrysalis Center For Counseling And Eating Disorder Treatment in Wilmington, North Carolina.

What is Kim Ellen's office phone number?

The practice phone on file for Kim Ellen is (910) 790-9500.

What is Kim Ellen's medical license number?

Kim Ellen holds Michigan license 6401009255, one of the licenses on file in 2 states.

Which states has Kim Ellen been licensed in?

Dmand AI has state licenses on file for Kim Ellen in Michigan and North Carolina.

What medical group is Kim Ellen part of?

Kim Ellen is linked to Chrysalis Center for Counseling & Eating Disorder Treatment.

Does Kim Ellen accept Medicare?

Yes. CMS lists Kim Ellen as accepting Medicare assignment.

How long has Kim Ellen been practicing?

Kim Ellen's NPI was assigned in 2007.

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