1. Home
  2. Directory
  3. Illinois
  4. Effingham
  5. Counselor
  6. NPI Profile

MRS. KRISTI RAE KINNEY LCPC
NPI 1053452599
Counselor - Professional in Effingham, IL

Active since February 09, 2007Opted out of Medicare · through Nov 29, 2027
14671 N. COURT 5, EFFINGHAM, IL 62401(217) 868-5862(217) 868-5739 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kristi Rae Kinney Lcpc NPPES

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

MRS. KRISTI RAE KINNEY LCPC (NPI 1053452599) is an individual professional provider in Effingham, Illinois, licensed in Illinois (180-003504) and active in the NPI registry since February 2007. She has opted out of Medicare through November 29, 2027.

NPPES Registry Identity

NPI1053452599
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KRISTI RAE KINNEYCredential: LCPC
Location Address14671 N. COURT 5Effingham, IL 62401
Mailing Address14671 N. Court 5Effingham, IL 62401 · (217) 868-5862 · Fax (217) 868-5739
Phone(217) 868-5862
Fax(217) 868-5739
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1053452599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180-003504
14671 N. COURT 5, Effingham, IL 62401
Open in Google Maps ↗

Other Identifiers 1

Other180-003504IL · Lcpc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kristi Rae Kinney Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 29, 2025 through November 29, 2027.

Opt-Out Effective DateNovember 29, 2025
Opt-Out In Effect ThroughNovember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kristi Kinney's NPI number?

The NPI number for Kristi Kinney is 1053452599. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Kristi Kinney located?

Kristi Kinney practices at 14671 N. Court 5, Effingham, IL 62401. The listed phone number is (217) 868-5862.

What is Kristi Kinney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristi Kinney enrolled in Medicare?

No. Kristi Kinney has opted out of Medicare through November 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristi Kinney was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.