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MADISON KIMBRELL MSW QMHP
NPI 1003434291
Counselor - Mental Health in Vienna, IL

Active since July 14, 2020PECOS Enrolled
101 OLIVER ST, VIENNA, IL 62995(618) 658-2611(618) 658-2501 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Kimbrell Msw Qmhp NPPES

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

MADISON KIMBRELL MSW QMHP (NPI 1003434291) is an individual mental health provider in Vienna, Illinois and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003434291
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON KIMBRELLCredential: MSW QMHP
Location Address101 OLIVER STVienna, IL 62995-1660
Mailing Address101 Oliver StVienna, IL 62995-1660 · (618) 658-2611 · Fax (618) 658-2501
Phone(618) 658-2611
Fax(618) 658-2501
Sole ProprietorNo
Enumeration DateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
✔ NPI 1003434291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
101 OLIVER ST, Vienna, IL 62995
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Kimbrell Msw Qmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

REGAINA MADDEN MSW QMHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
ROSE ARVIEUX BA, MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-3079
ELIZABETH MILLER RN, QMHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
MORGAN NICKLES BS MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
SHARON CRAIG BSE, MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
RECHELLE WORTHAN BSW MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
CASEY SANDERS BA MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611
JACOB LORENZ BA, MHP
Counselor (Mental Health)
101 OLIVER ST
VIENNA, IL 62995
Johnson County (618) 658-2611

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 Madison Kimbrell's NPI number?

The NPI number for Madison Kimbrell is 1003434291. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Madison Kimbrell located?

Madison Kimbrell practices at 101 Oliver St, Vienna, IL 62995. The listed phone number is (618) 658-2611.

What is Madison Kimbrell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Madison Kimbrell enrolled in Medicare?

Yes. Madison Kimbrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Kimbrell was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.