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KENDYL A KIMBERLY
NPI 1174055016
Counselor - Mental Health in Wheeling, WV

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
1100 MAIN ST STE 104, WHEELING, WV 26003(304) 460-5123(800) 734-8498 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2026, Oct 1, 2020, Mar 30, 2017 (3 updates tracked since 2017).

About Kendyl A Kimberly NPPES

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

KENDYL A KIMBERLY (NPI 1174055016) is an individual mental health provider in Wheeling, West Virginia, licensed in West Virginia (2410) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2016).

NPPES Registry Identity

NPI1174055016
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDYL A KIMBERLY
Location Address1100 MAIN ST STE 104Wheeling, WV 26003-2737
Mailing Address1005 White Willow WayMorgantown, WV 26505-6119
Phone(304) 460-5123
Fax(800) 734-8498
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1174055016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WV · 2410
1100 MAIN ST STE 104, Wheeling, WV 26003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendyl A Kimberly 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 ID6406299668
PECOS Enrollment IDI20240205004138
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 Kendyl Kimberly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gr & w, Inc
51 mi
Clinical Neuropsychologist
1005 WHITE WILLOW WAY
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1407192024 (304) 460-5123

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.

CHERI ANN TAGGART C-FNP
Nurse Practitioner
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (681) 821-2053
MR. NICHOLAS ROBERT COCHRAN MSW
Social Worker
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 443-1414
CARLEY JO ELSWICK FNP-C
Nurse Practitioner
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (681) 821-2053
DR. RYAN JOHN WAKIM M.D.
Psychiatry & Neurology (Psychiatry)
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 460-5123
VALERY LYNNE STASKEY TSW
Social Worker
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 460-5123
MRS. MICHELLE A HARTLEY APRN-CNP
Nurse Practitioner
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 513-3495
KATELIN MARIE BRYAN PLPC
Counselor (Mental Health)
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 513-3495
JILLIAN ROBBINS
Counselor (Mental Health)
1100 MAIN ST STE 104
WHEELING, WV 26003
Ohio County (304) 443-0248

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 Kendyl Kimberly's NPI number?

The NPI number for Kendyl Kimberly is 1174055016. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kendyl Kimberly located?

Kendyl Kimberly practices at 1100 Main St Ste 104, Wheeling, WV 26003. The listed phone number is (304) 460-5123.

What is Kendyl Kimberly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kendyl Kimberly enrolled in Medicare?

Yes. Kendyl Kimberly 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.

Which organization bills Medicare for Kendyl Kimberly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendyl Kimberly reassigns Medicare benefits to Gr & w, Inc (Morgantown, WV). 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 Kendyl Kimberly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendyl Kimberly accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kendyl Kimberly 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 Kendyl Kimberly was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.