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MRS. KIMBERLY WOELLER LPC
NPI 1053948778
Counselor - Professional in Woodbury, NJ

Active since March 24, 2020PECOS Enrolled
1 LUPTON AVE, WOODBURY, NJ 08096(856) 693-5775 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Mrs. Kimberly Woeller Lpc NPPES

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

MRS. KIMBERLY WOELLER LPC (NPI 1053948778) is an individual professional provider in Woodbury, New Jersey, licensed in New Jersey (37PC00679800) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053948778
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIMBERLY WOELLERCredential: LPC
Location Address1 LUPTON AVEWoodbury, NJ 08096-5901
Mailing Address1 Lupton AveWoodbury, NJ 08096-5901 · (856) 693-5775
Phone(856) 693-5775
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 24, 2020
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1053948778 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 NJ · 37PC00679800
1 LUPTON AVE, Woodbury, NJ 08096
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Woeller Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315405230
PECOS Enrollment IDI20260820001144
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 Woeller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Therapy And Consultation Services
Same address
Community/Behavioral Health
1 LUPTON AVE
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1730239450 (856) 332-4698

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.

ZACHARY HOBSON
Social Worker
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 693-5775
GWENDOLYN T TYLER LSW
Social Worker
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 693-5775
ALEXANDRIA PORRINI
Social Worker
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 537-5081
JODIE OBRIEN LCSW
Social Worker (Clinical)
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 693-5775
MARIAH JONES LAC
Counselor (Mental Health)
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 693-5775
MRS. JENNIE BAILE LCSW
Social Worker (Clinical)
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 332-4698
PAUL LAWRENCE RUSSOMANNO LAC
Counselor (Professional)
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (973) 886-9213
UNITED FAMILY SERVICES
Community/Behavioral Health
1 LUPTON AVE
WOODBURY, NJ 08096
Gloucester County (856) 332-4698

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 Woeller's NPI number?

The NPI number for Kimberly Woeller is 1053948778. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kimberly Woeller located?

Kimberly Woeller practices at 1 Lupton Ave, Woodbury, NJ 08096. The listed phone number is (856) 693-5775.

What is Kimberly Woeller's specialty?

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

Is Kimberly Woeller enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Woeller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Woeller reassigns Medicare benefits to Family Therapy And Consultation Services (Woodbury, NJ). 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 Woeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Woeller was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.