KALEIDOSCOPE HEART COUNSELING, LLC
NPI 1376378562
Counselor - Professional in Belleville, IL
About Kaleidoscope Heart Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEIDOSCOPE HEART COUNSELING, LLC (NPI 1376378562) is a healthcare organization registered as a professional in Belleville, Illinois and active in the NPI registry since September 2024. The organization lists Tanya Renee Koelker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaleidoscope Heart Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaleidoscope Heart Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kaleidoscope Heart Counseling, LLC's NPI number?
The NPI number for Kaleidoscope Heart Counseling, LLC is 1376378562. It was assigned to this organization in the NPPES registry on September 5, 2024.
Where is Kaleidoscope Heart Counseling, LLC located?
Kaleidoscope Heart Counseling, LLC is located at 115 Lincoln Place Ct Ste 102, Belleville, IL 62221. The listed phone number is (618) 722-9616.
What is Kaleidoscope Heart Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kaleidoscope Heart Counseling, LLC enrolled in Medicare?
Yes. Kaleidoscope Heart Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kaleidoscope Heart Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Kaleidoscope Heart Counseling, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kaleidoscope Heart Counseling, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kaleidoscope Heart Counseling, Llc · NPI 1376378562
Professional organization in Belleville, Illinois. Organization record, active in the CMS NPPES registry since September 5, 2024.
## Identity
- **NPI:** 1376378562 (Entity type: Organization)
- **Enumerated:** September 5, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tanya Koelker, OWNER
## Practice location
- **Address:** 115 LINCOLN PLACE CT STE 102, Belleville, IL 62221-5876
- **Phone:** (618) 722-9616
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376378562) · Data from the CMS NPPES public registry.