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KIMBERLY FAWLEY
NPI 1356773717
Counselor - Mental Health in Pekin, IL

Active since August 07, 2013PECOS Enrolled
3248 VANDEVER AVE, PEKIN, IL 61554(309) 347-5579(309) 347-4264 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Fawley NPPES

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

KIMBERLY FAWLEY (NPI 1356773717) is an individual mental health provider in Pekin, Illinois and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356773717
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY FAWLEY
Location Address3248 VANDEVER AVEPekin, IL 61554-6257
Mailing Address3248 Vandever AvePekin, IL 61554-6257 · (309) 347-5579 · Fax (309) 347-4264
Phone(309) 347-5579
Fax(309) 347-4264
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 7, 2013
✔ NPI 1356773717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3248 VANDEVER AVE, Pekin, IL 61554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Fawley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274055884
PECOS Enrollment IDI20250324000810
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 Reassignments

2

Medicare enrollment records show Kimberly Fawley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tazwood Mental Health Center, Inc.
2.1 mi
Mental Health (Including Community Mental Health Center)
3248 VANDEVER AVE
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
NPI 1083671127 (309) 347-5522
Elliott Counseling Services, LLC
33 mi
Community/Behavioral Health
706 OGLESBY AVE STE 300
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1396067559 (309) 212-3606

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.

TAZWOOD MENTAL HEALTH CENTER
Community/Behavioral Health
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
TAZWOOD CENTER FOR HUMAN SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5522
MR. PATRICK TIMOTHY HAYES B.S.
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
PATRICK DURKIN
Counselor (Mental Health)
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
ALICIA R. SAAL
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
JAYNE ANN CHEFFER
Social Worker
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
ANDREA SMITH
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579
VICKY COCHRAN
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
Tazewell County (309) 347-5579

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 Fawley's NPI number?

The NPI number for Kimberly Fawley is 1356773717. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Kimberly Fawley located?

Kimberly Fawley practices at 3248 Vandever Ave, Pekin, IL 61554. The listed phone number is (309) 347-5579.

What is Kimberly Fawley's specialty?

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

Is Kimberly Fawley enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Fawley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Fawley reassigns Medicare benefits to 2 organizations: Tazwood Mental Health Center, Inc. (Pekin, IL) and Elliott Counseling Services, LLC (Normal, IL). Each 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 Fawley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Fawley accept?

Health plans from Oscar Health list Kimberly Fawley 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 Fawley was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.