KIMBERLY WILSON LPC
NPI 1477277846
Counselor - Mental Health in Waukegan, IL
About Kimberly Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WILSON LPC (NPI 1477277846) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 Wilson Lpc 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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKEGAN, IL 60085
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 Wilson's NPI number?
The NPI number for Kimberly Wilson is 1477277846. It was assigned to this individual provider in the NPPES registry on September 29, 2022. The provider is also known as Kimberly Wolfe Lpc.
Where is Kimberly Wilson located?
Kimberly Wilson practices at 415 Washington St, Waukegan, IL 60085. The listed phone number is (224) 480-4498.
What is Kimberly Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Wilson enrolled in Medicare?
Yes. Kimberly Wilson 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 Wilson was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 Wilson, LPC · NPI 1477277846
Mental Health provider in Waukegan, Illinois. Individual provider, active in the CMS NPPES registry since September 29, 2022.
## Identity
- **NPI:** 1477277846 (Entity type: Individual)
- **Enumerated:** September 29, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 415 WASHINGTON ST, Waukegan, IL 60085-5564
- **Phone:** (224) 480-4498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477277846) · Data from the CMS NPPES public registry.