MRS. KIMBERLI ANN WICKS LPC
NPI 1649487927
Counselor - Mental Health in Dallas, OR

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
1277 SE SHELTON ST, DALLAS, OR 97338(582) 333-1364 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberli Ann Wicks Lpc NPPES

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

MRS. KIMBERLI ANN WICKS LPC (NPI 1649487927) is an individual mental health provider in Dallas, Oregon and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1649487927
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KIMBERLI ANN WICKSCredential: LPC
Location Address1277 SE SHELTON STDallas, OR 97338-2537
Mailing Address1277 Se Shelton StDallas, OR 97338-2537 · (582) 333-1364
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1649487927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1277 SE SHELTON ST, Dallas, OR 97338

Accepted Insurance

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

Mrs. Kimberli Ann Wicks 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 ID6204275019
PECOS Enrollment IDI20240412002234
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services18 patients

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1277 SE SHELTON ST
DALLAS, OR 97338

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 Kimberli Wicks's NPI number?

The NPI number for Kimberli Wicks is 1649487927. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Kimberli Wicks located?

Kimberli Wicks practices at 1277 SE Shelton St, Dallas, OR 97338. The listed phone number is (582) 333-1364.

What is Kimberli Wicks's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kimberli Wicks enrolled in Medicare?

Yes. Kimberli Wicks 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.

What insurance does Kimberli Wicks accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberli Wicks 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 Kimberli Wicks was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.