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KIMBERLY N SPENCER LCPC
NPI 1437787876
Counselor - Professional in South Holland, IL

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
16939 WOODLAWN EAST AVE, SOUTH HOLLAND, IL 60473(773) 719-0523 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 6, 2023, Mar 31, 2020 (2 updates tracked since 2020).

About Kimberly N Spencer Lcpc NPPES

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

KIMBERLY N SPENCER LCPC (NPI 1437787876) is an individual professional provider in South Holland, Illinois, licensed in Illinois (180009432) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1437787876
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY N SPENCERCredential: LCPC
Location Address16939 WOODLAWN EAST AVESouth Holland, IL 60473-3189
Mailing Address16939 Woodlawn East AveSouth Holland, IL 60473-3189 · (773) 719-0523
Phone(773) 719-0523
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 31, 2020
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
✔ NPI 1437787876 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 · 180009432
16939 WOODLAWN EAST AVE, South Holland, IL 60473
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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 N Spencer Lcpc 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 ID7810428927
PECOS Enrollment IDI20241001000037
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 Kimberly Spencer's NPI number?

The NPI number for Kimberly Spencer is 1437787876. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Kimberly Spencer located?

Kimberly Spencer practices at 16939 Woodlawn East Ave, South Holland, IL 60473. The listed phone number is (773) 719-0523.

What is Kimberly Spencer's specialty?

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

Is Kimberly Spencer enrolled in Medicare?

Yes. Kimberly Spencer 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 Spencer was last updated on November 6, 2023. 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.