1. Home
  2. Directory
  3. Iowa
  4. Waterloo
  5. Counselor
  6. NPI Profile

KIMBERLY ELLINGSON LMHC
NPI 1922312412
Counselor in Waterloo, IA

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: October 25, 2026.

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
Open in Google Maps ↗

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 NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Ellingson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc
0.2 mi
Emergency Medicine
3421 W 9TH ST
Waterloo, IA 50702
  • Reassigned Medicare billing, Iowa enrollment
  • 271 clinicians in this Medicare group
NPI 1528009545 (319) 272-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
BOBBITA NAG M.D.
Psychiatry & Neurology (Psychiatry)
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (312) 485-3222
DR. PENUMETSA B RAJU M.D.
Psychiatry & Neurology (Psychiatry)
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
JENNIFER J POWELL LISW
Social Worker
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
MS. SHANTILA MARIE CASTON LISW
Social Worker (Clinical)
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8929
MERVIN M. CARNAHAN MSW
Social Worker
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
BENJAMIN LEE STAINBROOK LISW
Social Worker (Clinical)
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922
DANIEL L EKSTROM PSY.S.
Psychologist
2750 SAINT FRANCIS DR
WATERLOO, IA 50702
Black Hawk County (319) 272-8922

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 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.

Where is Kimberly Ellingson located?

Kimberly Ellingson practices at 2750 Saint Francis Dr, Waterloo, IA 50702. The listed phone number is (319) 272-8922.

What is Kimberly Ellingson's specialty?

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

Is Kimberly Ellingson enrolled in Medicare?

Yes. Kimberly Ellingson 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 organization bills Medicare for Kimberly Ellingson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Ellingson reassigns Medicare benefits to Covenant Medical Center Inc (Waterloo, IA). 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 Ellingson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Ellingson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 3 other insurers list Kimberly Ellingson 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.

Is Kimberly Ellingson affiliated with any hospitals?

According to CMS data, Kimberly Ellingson is affiliated with Mercyone Waterloo Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Ellingson was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.