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

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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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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 Fawley 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 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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Fawley was last updated on August 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.