KIMBERLY WILEY MS
NPI 1780060939
Counselor - Mental Health in Bellingham, WA

Active since August 10, 2015Opted out of Medicare · through Jan 1, 2028
4784 NETTLE LN, BELLINGHAM, WA 98226(360) 961-8241 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Wiley Ms NPPES

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

KIMBERLY WILEY MS (NPI 1780060939) is an individual mental health provider in Bellingham, Washington, licensed in Washington (MC60587815) and active in the NPI registry since August 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1780060939
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY WILEYCredential: MS
Location Address4784 NETTLE LNBellingham, WA 98226-9749
Mailing Address4784 Nettle LnBellingham, WA 98226-9749 · (360) 961-8241
Sole ProprietorYes
Enumeration DateAugust 10, 2015
NPI 1780060939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC60587815
4784 NETTLE LN, Bellingham, WA 98226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kimberly Wiley Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Wiley's NPI number?

The NPI number for Kimberly Wiley is 1780060939. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Kimberly Wiley located?

Kimberly Wiley practices at 4784 Nettle Ln, Bellingham, WA 98226. The listed phone number is (360) 961-8241.

What is Kimberly Wiley's specialty?

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

Is Kimberly Wiley enrolled in Medicare?

No. Kimberly Wiley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Wiley was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.