KIMBERLY KIDDERS
NPI 1023506615
Counselor - Mental Health in Elgin, IL
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.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Kidders is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
What insurance does Kimberly Kidders accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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 13 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.
# Kimberly Kidders · NPI 1023506615
Mental Health provider in Elgin, Illinois. Individual provider, active in the CMS NPPES registry since April 29, 2018.
## Identity
- **NPI:** 1023506615 (Entity type: Individual)
- **Enumerated:** April 29, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180.017281 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1845 GRANDSTAND PL, Elgin, IL 60123-6603
- **Phone:** (847) 695-0484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023506615) · Data from the CMS NPPES public registry.