MRS. KIM WEIST PIASECKI MS, LCPC
NPI 1467580605
Counselor - Professional in Germantown, MD

Active since March 01, 2007Opted out of Medicare · through Mar 1, 2028
13240 EXECUTIVE PARK TER, GERMANTOWN, MD 20874(301) 355-0450(301) 515-1937 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Kim Weist Piasecki Ms, Lcpc NPPES

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

MRS. KIM WEIST PIASECKI MS, LCPC (NPI 1467580605) is an individual professional provider in Germantown, Maryland, licensed in Maryland (LC2938) and active in the NPI registry since March 2007. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1467580605
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KIM WEIST PIASECKICredential: MS, LCPC
Location Address13240 EXECUTIVE PARK TERGermantown, MD 20874-2640
Mailing Address13240 Executive Park TerGermantown, MD 20874-2640 · (301) 355-0450 · Fax (301) 515-1937
Fax(301) 515-1937
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateMarch 31, 2017
NPI 1467580605 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 MD · LC2938
13240 EXECUTIVE PARK TER, Germantown, MD 20874

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kim Weist Piasecki Ms, Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2024 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2024
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
13240 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Social Worker (Clinical)
13240 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Counselor (Professional)
13240 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Clinic/Center (Mental Health (Including Community Mental Health Center))
13240 EXECUTIVE PARK TER
GERMANTOWN, MD 20874
Social Worker (Clinical)
13240 EXECUTIVE PARK TER
GERMANTOWN, MD 20874

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467580605, enumerated as an "individual" on March 01, 2007.

The provider is located at 13240 EXECUTIVE PARK TER GERMANTOWN, MD 20874 and the phone number is (301) 355-0450.

Counselor with taxonomy code 101YP2500X and a focus in Professional.