Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. KIMBERLY LEANN HAWES CARLISLE
NPI 1184296402
Counselor - Professional in Eugene, OR

Active since July 15, 2021PECOS Enrolled
1258 HIGH ST, EUGENE, OR 97401(541) 342-8437 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, May 15, 2024, Jul 15, 2021 (3 updates tracked since 2021).

About Ms. Kimberly Leann Hawes Carlisle NPPES

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

MS. KIMBERLY LEANN HAWES CARLISLE (NPI 1184296402) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C10726) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184296402
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY LEANN HAWES CARLISLE
Location Address1258 HIGH STEugene, OR 97401-3238
Mailing Address1258 High StEugene, OR 97401-3238 · (541) 342-8437
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2021
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1184296402 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 OR · C10726
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-26-6672 (OR)
1258 HIGH ST, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Leann Hawes Carlisle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456826239
PECOS Enrollment IDI20260409000624
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 Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1258 HIGH ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 33 clinicians in this Medicare group

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.

Counselor (Mental Health)
1258 HIGH ST
EUGENE, OR 97401
Peer Specialist
1258 HIGH ST
EUGENE, OR 97401
Counselor
1258 HIGH ST
EUGENE, OR 97401
Peer Specialist
1258 HIGH ST
EUGENE, OR 97401
Social Worker (Clinical)
1258 HIGH ST
EUGENE, OR 97401
Counselor
1258 HIGH ST
EUGENE, OR 97401
Social Worker (Clinical)
1258 HIGH ST
EUGENE, OR 97401
Counselor (Addiction (Substance Use Disorder))
1258 HIGH ST
EUGENE, OR 97401

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 Carlisle's NPI number?

The NPI number for Kimberly Carlisle is 1184296402. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Kimberly Carlisle located?

Kimberly Carlisle practices at 1258 High St, Eugene, OR 97401. The listed phone number is (541) 342-8437.

What is Kimberly Carlisle's specialty?

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

Is Kimberly Carlisle enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Carlisle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Carlisle reassigns Medicare benefits to Center For Family Development, Inc. (Eugene, OR). 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 Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Carlisle accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Carlisle 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 Kimberly Carlisle was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.