KIM WASLEY LCSW LLC
NPI 1154150019
Clinic/Center - Adult Mental Health in Athens, GA
About Kim Wasley Lcsw Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM WASLEY LCSW LLC (NPI 1154150019) is a healthcare organization registered as an adult mental health in Athens, Georgia and active in the NPI registry since July 2024. The organization lists Kimberly Wasley, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim Wasley Lcsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Wasley Lcsw LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kim Wasley Lcsw LLC's NPI number?
The NPI number for Kim Wasley Lcsw LLC is 1154150019. It was assigned to this organization in the NPPES registry on July 30, 2024. The provider is also known as Kim Wasley, LCSW, LLC.
Where is Kim Wasley Lcsw LLC located?
Kim Wasley Lcsw LLC is located at 598 S Milledge Ave Ste 5, Athens, GA 30605. The listed phone number is (706) 522-3017.
What is Kim Wasley Lcsw LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Kim Wasley Lcsw LLC enrolled in Medicare?
Yes. Kim Wasley Lcsw LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kim Wasley Lcsw LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kim Wasley Lcsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kim Wasley Lcsw LLC was last updated on July 30, 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.
# Kim Wasley Lcsw Llc · NPI 1154150019
Adult Mental Health organization in Athens, Georgia. Organization record, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1154150019 (Entity type: Organization)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** Kim Wasley, LCSW, LLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Kimberly Wasley, OWNER
## Practice location
- **Address:** 598 S MILLEDGE AVE STE 5, Athens, GA 30605-1262
- **Phone:** (706) 522-3017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2024
- **Other identifiers:** Medicaid 1598239964 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154150019) · Data from the CMS NPPES public registry.