Kelly Broadwater Pickell, MA, LPA, LPC, CEDS
NPI 1881786945ActiveIndividual· Psychologist· Wilmington, NC
Psychologist (MA, LPA, LPC, CEDS) in Wilmington, North Carolina, licensed in NC, with an NPI issued in September 2006.
Overview
| NPI | 1881786945 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPA, LPC, CEDS |
| Sole proprietor | No |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Jul 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 2481 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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