ALICIA KENDORSKI, NCC — NPI 1790167377 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1790167377

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

32630 CEDAR DR UNIT A, MILLVILLE, DE, 19967-6946

✓ 9-Digit EDI 837 ZIP+4 (19967-6946)

Practice Phone & Referral Fax

(302) 448-5054

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790167377 (ALICIA KENDORSKI, NCC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790167377` (NPI-2 Organization / Facility)
Provider / Legal Name	ALICIA KENDORSKI, NCC
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	32630 CEDAR DR UNIT A, MILLVILLE, DE, 19967-6946
Practice Telephone / Fax	Tel: (302) 448-5054
Administrative Mailing Address	24583 PETERKINS ROAD, GEORGETOWN, DE, 19947
Enumeration & Last Sync	Enumerated: 2015-06-19 \| CMS Record Updated: 2015-06-19
Authorized Official	ALICIA KENDORSKI (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

32630 CEDAR DR UNIT A, MILLVILLE, DE, 19967-6946

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALICIA KENDORSKI, NCC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: DE \| License: `0000091` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALICIA KENDORSKI, NCC (NPI #1790167377)