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THERESA LYNNE KISH LCPC
NPI 1528201423
Counselor - Professional in Yorkville, IL

Active since April 08, 2009PECOS Enrolled
624 W VETERANS PKWY, SUITE D, YORKVILLE, IL 60560(630) 552-5643(630) 689-1161 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa Lynne Kish Lcpc NPPES

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

THERESA LYNNE KISH LCPC (NPI 1528201423) is an individual professional provider in Yorkville, Illinois, licensed in Illinois (180-002412) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1528201423
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTHERESA LYNNE KISHCredential: LCPC
Location Address624 W VETERANS PKWY, SUITE DYorkville, IL 60560-4567
Mailing Address624 W Veterans Pkwy, Suite DYorkville, IL 60560-4567 · (630) 552-5643 · Fax (630) 689-1161
Phone(630) 552-5643
Fax(630) 689-1161
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 8, 2009
✔ NPI 1528201423 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 · 180-002412
624 W VETERANS PKWY, Yorkville, IL 60560
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Lynne Kish Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062971583
PECOS Enrollment IDI20260826000105
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.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Kish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richard Kneip, Ph.D., P.C.
271 mi
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 45 clinicians in this Medicare group
NPI 1679739700 (800) 693-1916

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

ANNE MARIE ROMAN JARDELEZA D.D.S.
Dentist
624 W VETERANS PKWY, SUITE C
YORKVILLE, IL 60560
Kendall County (630) 553-8664
DR. LEA A. CORNISH, P.C.
Chiropractor
624 W VETERANS PKWY, SUITE A
YORKVILLE, IL 60560
Kendall County (630) 385-6200
ALL WAYS CARING SERVICES, INC.
In Home Supportive Care
624 W VETERANS PKWY, SUITE B
YORKVILLE, IL 60560
Kendall County (217) 398-4100
DR. SEAN RAMAKRISHNA DDS
Dentist
624 W VETERANS PKWY, SUITE C
YORKVILLE, IL 60560
Kendall County (630) 553-8664

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 Theresa Kish's NPI number?

The NPI number for Theresa Kish is 1528201423. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Theresa Kish located?

Theresa Kish practices at 624 W Veterans Pkwy Suite D, Yorkville, IL 60560. The listed phone number is (630) 552-5643.

What is Theresa Kish's specialty?

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

Is Theresa Kish enrolled in Medicare?

Yes. Theresa Kish is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Kish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Kish reassigns Medicare benefits to Richard Kneip, Ph.D., P.C. (Clarkston, MI). The 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 Theresa Kish'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 Theresa Kish was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.