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KIMBERLEY MICHELLE MALLOY LCPC
NPI 1437588159
Counselor - Professional in Waterloo, IL

Active since November 04, 2013PECOS Enrolled
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444(618) 939-4181 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberley Michelle Malloy Lcpc NPPES

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

KIMBERLEY MICHELLE MALLOY LCPC (NPI 1437588159) is an individual professional provider in Waterloo, Illinois, licensed in Illinois (180008895) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437588159
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLEY MICHELLE MALLOYCredential: LCPC
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1000
Mailing Address988 N Illinois Route 3, Po Box 146Waterloo, IL 62298-1000 · (618) 939-4444 · Fax (618) 939-4181
Phone(618) 939-4444
Fax(618) 939-4181
Sole ProprietorNo
Enumeration DateNovember 4, 2013
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1437588159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180008895
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberley Michelle Malloy Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

DEBRA WILKERSON LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DANIEL MOLL RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
BONNIE LEWIS RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MARY GATES-GULLY MS, CADC
Counselor (Addiction (Substance Use Disorder))
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
SHYRL HAMILTON MHP
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
STEPHANIE MOORE LCSW
Social Worker
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
ABAGAIL JEAN WHITAKER RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
PEGGY ANN WORK MHP
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

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 Kimberley Malloy's NPI number?

The NPI number for Kimberley Malloy is 1437588159. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Kimberley Malloy located?

Kimberley Malloy practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Kimberley Malloy's specialty?

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

Is Kimberley Malloy enrolled in Medicare?

Yes. Kimberley Malloy is registered in the Medicare PECOS enrollment system.

What insurance does Kimberley Malloy accept?

Health plans from Providence Health Plan list Kimberley Malloy 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 Kimberley Malloy was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.