KIMBERLY N SPENCER LCPC
NPI 1437787876
Counselor - Professional in South Holland, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Spencer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60601
- Reassigned Medicare billing, Illinois enrollment
- 66 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Illinois enrollment
- 581 clinicians in this Medicare group
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 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.
Which organizations bill Medicare for Kimberly Spencer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Spencer reassigns Medicare benefits to 2 organizations: Thriveworks Clinical - Illinois (Chicago, IL) and Grow Healthcare Group PA (Miami, FL). Each 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 Kimberly Spencer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kimberly N Spencer, LCPC · NPI 1437787876
Professional provider in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1437787876 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180009432 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16939 WOODLAWN EAST AVE, South Holland, IL 60473-3189
- **Phone:** (773) 719-0523
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thriveworks Clinical - Illinois (NPI 1164190633, Chicago, IL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437787876) · Data from the CMS NPPES public registry.