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ANDREA DAWN KAISER LCPC
NPI 1053644849
Counselor - Professional in Rockford, IL

Active since September 10, 2009PECOS EnrolledAccepts Medicare Assignment
1021 N MULFORD RD, ROCKFORD, IL 61107(815) 621-5945 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2016, Jan 14, 2016 (2 updates tracked since 2016).

About Andrea Dawn Kaiser Lcpc NPPES

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

ANDREA DAWN KAISER LCPC (NPI 1053644849) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180005739) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1053644849
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA DAWN KAISERCredential: LCPC
Location Address1021 N MULFORD RDRockford, IL 61107-3877
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 621-5945
Phone(815) 621-5945
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 10, 2009
Last NPPES UpdateJanuary 27, 20162 updates tracked since enumeration
✔ NPI 1053644849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180005739
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 22751 (IL)
1021 N MULFORD RD, Rockford, IL 61107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Dawn Kaiser Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698266849
PECOS Enrollment IDI20251114002989
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.

ROSECRANCE INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
GLEN FORNERIS
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5600
PAIGE LYNN RYAN LCSW
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
MEGHAN COOK LSW
Social Worker
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5623
DR. RICHARD RAYMOND DEPPE DDS
Dentist
1021 N MULFORD RD, SUITE 2
ROCKFORD, IL 61107
Winnebago County (815) 226-0400
MS. SAVILI KOISAY NGOVO LCSW
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 387-5600
AMANDA HURLEY MA, LPC, CADC
Counselor (Professional)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 363-6132
LYNN WHEELER APN
Nurse Practitioner (Psychiatric/Mental Health)
1021 N MULFORD RD
ROCKFORD, IL 61107
Winnebago County (815) 391-1000

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 Andrea Kaiser's NPI number?

The NPI number for Andrea Kaiser is 1053644849. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Andrea Kaiser located?

Andrea Kaiser practices at 1021 N Mulford Rd, Rockford, IL 61107. The listed phone number is (815) 621-5945.

What is Andrea Kaiser's specialty?

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

Is Andrea Kaiser enrolled in Medicare?

Yes. Andrea Kaiser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Kaiser accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Andrea Kaiser 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 Andrea Kaiser was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.