KIMBERLY ANN MCILWAIN
NPI 1518503424
Counselor - Mental Health in Coos Bay, OR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since November 26, 2019

1885 THOMPSON RD, COOS BAY, OR 97420(541) 226-8480(541) 266-8479 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimberly Ann Mcilwain NPPES

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

KIMBERLY ANN MCILWAIN (NPI 1518503424) is an individual mental health provider in Coos Bay, Oregon and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1518503424

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY ANN MCILWAIN

Location Address1885 THOMPSON RDCoos Bay, OR 97420-2152

Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170 · Fax (541) 858-8167

Phone(541) 226-8480

Fax(541) 266-8479

Sole ProprietorNo

Enumeration DateNovember 26, 2019

✔ NPI 1518503424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1885 THOMPSON RD, Coos Bay, OR 97420

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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.

COLUMBIACARE SERVICES

Community Based Residential Treatment Facility, Mental Illness