MS. KIMBERLY SUE WASOSKI LMHC, LCAC
NPI 1639358161
Counselor - Mental Health in South Bend, IN
About Ms. Kimberly Sue Wasoski Lmhc, Lcac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY SUE WASOSKI LMHC, LCAC (NPI 1639358161) is an individual mental health provider in South Bend, Indiana, licensed in Indiana (39000873A) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Ms. Kimberly Sue Wasoski Lmhc, Lcac 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Wasoski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46615
- Reassigned Medicare billing, Indiana enrollment
- 13 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wasoski's NPI number?
The NPI number for Kimberly Wasoski is 1639358161. It was assigned to this individual provider in the NPPES registry on November 1, 2007.
Where is Kimberly Wasoski located?
Kimberly Wasoski practices at 3220 E Jefferson Blvd, South Bend, IN 46615. The listed phone number is (574) 222-2466.
What is Kimberly Wasoski's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Wasoski enrolled in Medicare?
Yes. Kimberly Wasoski 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 Kimberly Wasoski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wasoski reassigns Medicare benefits to Reflections Counseling (South Bend, IN). 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 Kimberly Wasoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Wasoski accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kimberly Wasoski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kimberly Wasoski was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Kimberly Sue Wasoski, LMHC, LCAC · NPI 1639358161
Mental Health provider in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since November 1, 2007.
## Identity
- **NPI:** 1639358161 (Entity type: Individual)
- **Enumerated:** November 1, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39000873A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3220 E JEFFERSON BLVD, South Bend, IN 46615-3028
- **Phone:** (574) 222-2466 · **Fax:** (574) 222-2468
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Reflections Counseling (NPI 1023428711, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Other 000000542441 (IN); Medicaid 200375890A (IN); Other 000000542441 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639358161) · Data from the CMS NPPES public registry.