KIMBERLY ANN MERCER M.S. L.M.F.T. - NPI 1275706053 - Marriage & Family Therapist in La Salle, IL

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Kimberly Ann Mercer M.s. L.m.f.t. NPPES

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

KIMBERLY ANN MERCER M.S. L.M.F.T. (NPI 1275706053) is an individual marriage & family therapist in La Salle, Illinois, licensed in Illinois (166.000648) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Salle, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275706053

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY ANN MERCERCredential: M.S. L.M.F.T.

Location Address2428 CHARTRES STLa Salle, IL 61301-1107

Mailing Address807 Bucklin StLa Salle, IL 61301-1756 · (815) 878-9131 · Fax (815) 224-4550

Phone(815) 780-8765

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 11, 2008

Last NPPES UpdateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1275706053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IL · 166.000648

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2428 CHARTRES ST, La Salle, IL 61301

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Secondary Practice Location 1

Location 1542 Crosat StLA Salle, IL 61301-2226 · Phone (815) 223-4550 ext. 202 · Fax (815) 224-4550

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

Kimberly Ann Mercer M.s. L.m.f.t. 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 ID9638513518

PECOS Enrollment IDI20240219003263

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.