Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MINDY MARIE KIRKTON CADC
NPI 1306171525
Counselor - Addiction (Substance Use Disorder) in Champaign, IL

Q: What is Mindy Kirkton's NPI number?

The NPI number for Mindy Kirkton is 1306171525. It was assigned to this individual provider in the NPPES registry on October 6, 2009.

Q: What is Mindy Kirkton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mindy Kirkton was last updated on July 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 06, 2009PECOS Enrolled

1813 W KIRBY AVE, CHAMPAIGN, IL 61821(217) 383-6039(217) 383-4081 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mindy Marie Kirkton Cadc NPPES

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

MINDY MARIE KIRKTON CADC (NPI 1306171525) is an individual addiction (substance use disorder) provider in Champaign, Illinois, licensed in Illinois (149030878) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pekin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1306171525

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMINDY MARIE KIRKTONCredential: CADC

Location Address1813 W KIRBY AVEChampaign, IL 61821-5410

Mailing Address611 W Park StUrbana, IL 61801-2529

Phone(217) 383-6039

Fax(217) 383-4081

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 6, 2009

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1306171525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in IL · 149030878

1813 W KIRBY AVE, Champaign, IL 61821

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Secondary Practice Location 1

Location 13248 Vandever AvePekin, IL 61554-6257 · Phone (309) 347-5579 · Fax (309) 347-4264

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindy Marie Kirkton Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840770897

PECOS Enrollment IDI20260218000422

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.