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KIMBERLY KIDDERS
NPI 1023506615
Counselor - Mental Health in Elgin, IL

Active since April 29, 2018PECOS Enrolled
1845 GRANDSTAND PL, ELGIN, IL 60123(847) 695-0484 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2025, Jan 27, 2022, Jul 20, 2018 and 1 more (4 updates tracked since 2018).

About Kimberly Kidders NPPES

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

KIMBERLY KIDDERS (NPI 1023506615) is an individual mental health provider in Elgin, Illinois, licensed in Illinois (180.017281) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1023506615
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY KIDDERS
Location Address1845 GRANDSTAND PLElgin, IL 60123-6603
Mailing Address435 Village Creek DrLake In The Hills, IL 60156-4810 · (708) 217-0330
Phone(847) 695-0484
Sole ProprietorNo
Enumeration DateApril 29, 2018
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1023506615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IL · 180.017281✔ Licensed in MA · 12591-MH-CC
Also ListedDrama TherapistTaxonomy 101200000X · License 758 (MA)
1845 GRANDSTAND PL, Elgin, IL 60123
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Kidders-montoya

Secondary Practice Location 1

Location 190 Canal St Ste 4Boston, MA 02114-2022 · Phone (844) 257-1461

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Kidders 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Kidders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ecker Center For Behavioral Health
Same address
Mental Health (Including Community Mental Health Center)
1845 GRANDSTAND PLACE
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1982787693 (847) 695-0484

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HALEY ELIZABETH VON HOLST
Community Health Worker
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 931-9314
MRS. GERALDINE ANNE JOHNSON RN
Registered Nurse
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
BRIANNA JOYCE ZIMMERMAN B.S.
Case Manager/Care Coordinator
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
KATRIN SCHLICHT
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
MR. MARK ALLEN MILLER MHP
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
MARIAH JENNIFER KUICK LCSW
Social Worker (Clinical)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
JESSIKA ROTTO
Case Manager/Care Coordinator
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484
ASHLEY CHRISTINE DUBEAU
Counselor (Mental Health)
1845 GRANDSTAND PL
ELGIN, IL 60123
Kane County (847) 695-0484

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 Kimberly Kidders's NPI number?

The NPI number for Kimberly Kidders is 1023506615. It was assigned to this individual provider in the NPPES registry on April 29, 2018. The provider is also known as Kimberly Kidders-Montoya.

Where is Kimberly Kidders located?

Kimberly Kidders practices at 1845 Grandstand Pl, Elgin, IL 60123. The listed phone number is (847) 695-0484.

What is Kimberly Kidders's specialty?

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

Is Kimberly Kidders enrolled in Medicare?

Yes. Kimberly Kidders is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Kidders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kidders reassigns Medicare benefits to Ecker Center For Behavioral Health (Elgin, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Kidders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Kidders accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and UnitedHealthcare list Kimberly Kidders 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 Kimberly Kidders was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.