KIMBERLY ELLINGSON LMHC
NPI 1922312412
Counselor in Waterloo, IA

Q: What is Kimberly Ellingson's NPI number?

The NPI number for Kimberly Ellingson is 1922312412. It was assigned to this individual provider in the NPPES registry on July 27, 2010. The provider is also known as Kimberly Rogers Lmhc.

Q: What is Kimberly Ellingson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since July 27, 2010PECOS EnrolledAccepts Medicare Assignment

2750 SAINT FRANCIS DR, WATERLOO, IA 50702(319) 272-8922(319) 272-8929 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Ellingson Lmhc NPPES

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

KIMBERLY ELLINGSON LMHC (NPI 1922312412) is an individual counselor in Waterloo, Iowa, licensed in Iowa (001318) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1922312412

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBERLY ELLINGSONCredential: LMHC

Location Address2750 SAINT FRANCIS DRWaterloo, IA 50702-5644

Mailing Address2750 Saint Francis DrWaterloo, IA 50702-5644 · (192) 728-9223 · Fax (319) 272-8929

Phone(319) 272-8922

Fax(319) 272-8929

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 27, 2010

Last NPPES UpdateNovember 22, 2021

NPPES CertifiedNovember 22, 2021

✔ NPI 1922312412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IA · 001318

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2750 SAINT FRANCIS DR, Waterloo, IA 50702

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Other Names 1

Former Name (1)Kimberly Rogers Lmhc

Other Identifiers 1

Medicaid074575IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Kimberly Ellingson Lmhc 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 ID4981054822

PECOS Enrollment IDI20231219001578

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

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

EVANS KOMEN DNP,PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)