KIMBERLY WISNIEWSKI LPC
NPI 1851462543
Counselor - Professional in Detroit, MI

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
1 FORD PL, 1C, DETROIT, MI 48202(313) 874-3094(313) 874-9149 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2023, Mar 15, 2021 (2 updates tracked since 2021).

About Kimberly Wisniewski Lpc NPPES

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

KIMBERLY WISNIEWSKI LPC (NPI 1851462543) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6401005748) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851462543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY WISNIEWSKICredential: LPC
Location Address1 FORD PL, 1CDetroit, MI 48202-3450
Mailing Address39450 W 12 Mile RdNovi, MI 48377-3600 · (248) 661-7393
Fax(313) 874-9149
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1851462543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401005748
1 FORD PL, Detroit, MI 48202

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

Kimberly Wisniewski 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 ID1759734510
PECOS Enrollment IDI20240129000282
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 Reassignments

2

Medicare enrollment records show Kimberly Wisniewski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
Clinical
330 LINCOLN AVE
Iron River, MI 49935
  • Reassigned Medicare billing, Michigan enrollment
  • 34 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.

Areas of Expertise CMS Part B claims 2

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
52 services20 patients
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.
32 services32 patients

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.

Psychologist (Counseling)
1 FORD PL, STE 1 C
DETROIT, MI 48202
Emergency Medicine
1 FORD PL
DETROIT, MI 48202
Clinic/Center
1 FORD PL, SUITE 1 C
DETROIT, MI 48202
Nurse Practitioner
1 FORD PL
DETROIT, MI 48202
Dietitian, Registered
1 FORD PL
DETROIT, MI 48202
Community Health Worker
1 FORD PL
DETROIT, MI 48202
Psychologist (Clinical)
1 FORD PL, 1E
DETROIT, MI 48202
Social Worker (Clinical)
1 FORD PL, SUITE I C
DETROIT, MI 48202

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 Wisniewski's NPI number?

The NPI number for Kimberly Wisniewski is 1851462543. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Kimberly Wisniewski located?

Kimberly Wisniewski practices at 1 Ford Pl 1C, Detroit, MI 48202. The listed phone number is (313) 874-3094.

What is Kimberly Wisniewski's specialty?

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

Is Kimberly Wisniewski enrolled in Medicare?

Yes. Kimberly Wisniewski 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 organizations bill Medicare for Kimberly Wisniewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wisniewski reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Supportive Care I Of Michigan PC (Iron River, MI). Each 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 Wisniewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Wisniewski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kimberly Wisniewski 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 Wisniewski was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.