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AIMEE KACKLEY LPC
NPI 1386161503
Counselor - Professional in Evanston, IL

Active since August 28, 2017PECOS Enrolled
1112 CHURCH ST # 1W, EVANSTON, IL 60201(312) 237-1419 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Aimee Kackley Lpc NPPES

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

AIMEE KACKLEY LPC (NPI 1386161503) is an individual professional provider in Evanston, Illinois, licensed in Illinois (178013231) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386161503
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAIMEE KACKLEYCredential: LPC
Location Address1112 CHURCH ST # 1WEvanston, IL 60201-3604
Mailing Address1112 Church St # 1wEvanston, IL 60201-3604 · (312) 237-1419
Phone(312) 237-1419
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1386161503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178013231
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 937396 (IL)
1112 CHURCH ST # 1W, Evanston, IL 60201
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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 (PECOS)

Aimee Kackley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628417409
PECOS Enrollment IDI20240423000943
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.

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 Aimee Kackley's NPI number?

The NPI number for Aimee Kackley is 1386161503. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Aimee Kackley located?

Aimee Kackley practices at 1112 Church St # 1W, Evanston, IL 60201. The listed phone number is (312) 237-1419.

What is Aimee Kackley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Aimee Kackley enrolled in Medicare?

Yes. Aimee Kackley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aimee Kackley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.