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KRISTIE WALSTRUM LPC
NPI 1568142602
Counselor - Professional in Highland Park, IL

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
777 CENTRAL AVE STE 17, HIGHLAND PARK, IL 60035(847) 432-4981 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2025, Jul 24, 2023 (2 updates tracked since 2023).

About Kristie Walstrum Lpc NPPES

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

KRISTIE WALSTRUM LPC (NPI 1568142602) is an individual professional provider in Highland Park, Illinois and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568142602
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTIE WALSTRUMCredential: LPC
Location Address777 CENTRAL AVE STE 17Highland Park, IL 60035-3246
Mailing Address777 Central Ave Ste 17Highland Park, IL 60035-3246 · (847) 432-4981
Phone(847) 432-4981
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2023
Last NPPES UpdateApril 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1568142602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
777 CENTRAL AVE STE 17, Highland Park, IL 60035
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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 and accepts Medicare assignment

Kristie Walstrum 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.

PECOS PAC ID7214453067
PECOS Enrollment IDI20250424002812
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 Kristie Walstrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Josselyn Center Nfp
3.4 mi
Mental Health (Including Community Mental Health Center)
1135 SKOKIE BLVD
Northbrook, IL 60062
  • Reassigned Medicare billing, Illinois enrollment
  • 138 clinicians in this Medicare group
NPI 1073548640 (847) 441-5600

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 11

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

ANTHOULA SHULMAN ATR
Counselor
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 441-5600
HANNAH ILANA KAPLAN
Art Therapist
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 432-4981
KELLY ANN RUNNINGEN LSW
Social Worker
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 441-5600
KRISTIN MIRANDA
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 441-5600
KIMBERLY BROOKS MSW (INTERN)
Social Worker (Clinical)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 441-5600
MELISSA INEX KALIL
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 441-5600
ASHLEY ICE LCSW
Social Worker (Clinical)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 432-4981
GABRIELA LEYVA PENUELAS
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Lake County (847) 432-4981

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 Kristie Walstrum's NPI number?

The NPI number for Kristie Walstrum is 1568142602. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Kristie Walstrum located?

Kristie Walstrum practices at 777 Central Ave Ste 17, Highland Park, IL 60035. The listed phone number is (847) 432-4981.

What is Kristie Walstrum's specialty?

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

Is Kristie Walstrum enrolled in Medicare?

Yes. Kristie Walstrum 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 organization bills Medicare for Kristie Walstrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristie Walstrum reassigns Medicare benefits to The Josselyn Center Nfp (Northbrook, IL). 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 Kristie Walstrum'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 Kristie Walstrum was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.