KIMBERLY DAWN WILSON LPC
NPI 1689356669
Counselor - Mental Health in Hillsboro, MO
About Kimberly Dawn Wilson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DAWN WILSON LPC (NPI 1689356669) is an individual mental health provider in Hillsboro, Missouri, licensed in Missouri (2025026687) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Dawn Wilson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, IL 61701
- Reassigned Medicare billing, Missouri enrollment
- 17 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HILLSBORO, MO 63050
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 Wilson's NPI number?
The NPI number for Kimberly Wilson is 1689356669. It was assigned to this individual provider in the NPPES registry on August 1, 2023.
Where is Kimberly Wilson located?
Kimberly Wilson practices at 102 4th St, Hillsboro, MO 63050. The listed phone number is (161) 887-7442.
What is Kimberly Wilson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Wilson enrolled in Medicare?
Yes. Kimberly Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wilson reassigns Medicare benefits to Chestnut Health Systems Inc (Bloomington, 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 Kimberly Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Wilson accept?
Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Kimberly Wilson 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 Wilson was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kimberly Dawn Wilson, LPC · NPI 1689356669
Mental Health provider in Hillsboro, Missouri. Individual provider, active in the CMS NPPES registry since August 1, 2023.
## Identity
- **NPI:** 1689356669 (Entity type: Individual)
- **Enumerated:** August 1, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 2025026687 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 4TH ST, Hillsboro, MO 63050-5043
- **Phone:** (161) 887-7442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Chestnut Health Systems Inc (NPI 1366431686, Bloomington, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689356669) · Data from the CMS NPPES public registry.