KIMBERLY PILLIS MA, LAC
NPI 1962126912
Counselor - Mental Health in Collingswood, NJ
About Kimberly Pillis Ma, Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY PILLIS MA, LAC (NPI 1962126912) is an individual mental health provider in Collingswood, New Jersey, licensed in New Jersey (37AC00569000) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Pillis Ma, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Pillis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLLINGSWOOD, NJ 08108
COLLINGSWOOD, NJ 08108
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 Pillis's NPI number?
The NPI number for Kimberly Pillis is 1962126912. It was assigned to this individual provider in the NPPES registry on October 3, 2022. The provider is also known as Kimberly Yarris.
Where is Kimberly Pillis located?
Kimberly Pillis practices at 900 Haddon Ave, Collingswood, NJ 08108. The listed phone number is (856) 495-2480.
What is Kimberly Pillis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Pillis enrolled in Medicare?
Yes. Kimberly Pillis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Pillis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Pillis reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Pillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Pillis was last updated on October 3, 2022. 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.
# Kimberly Pillis, MA, LAC · NPI 1962126912
Mental Health provider in Collingswood, New Jersey. Individual provider, active in the CMS NPPES registry since October 3, 2022.
## Identity
- **NPI:** 1962126912 (Entity type: Individual)
- **Enumerated:** October 3, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37AC00569000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 HADDON AVE, Collingswood, NJ 08108-2101
- **Phone:** (856) 495-2480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962126912) · Data from the CMS NPPES public registry.