KIMBERLY PILLIS MA, LAC
NPI 1962126912
Counselor - Mental Health in Collingswood, NJ

Active since October 03, 2022PECOS Enrolled
900 HADDON AVE, COLLINGSWOOD, NJ 08108(856) 495-2480 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1962126912
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY PILLISCredential: MA, LAC
Location Address900 HADDON AVECollingswood, NJ 08108-2101
Mailing Address900 Haddon Ave Ste 414Collingswood, NJ 08108-2113
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
NPI 1962126912 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 NJ · 37AC00569000
900 HADDON AVE, Collingswood, NJ 08108

Other Names 1

Former Name (1)Kimberly Yarris

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Pillis Ma, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779061254
PECOS Enrollment IDI20260128000587
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.

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.

Ophthalmology
900 HADDON AVE, SUITE 102
COLLINGSWOOD, NJ 08108
Durable Medical Equipment & Medical Supplies
900 HADDON AVE, STE 102
COLLINGSWOOD, NJ 08108
Ophthalmology
900 HADDON AVE, SUITE 102
COLLINGSWOOD, NJ 08108
Family Medicine
900 HADDON AVE, SUITE 136
COLLINGSWOOD, NJ 08108
Ophthalmology
900 HADDON AVE, SUITE 102
COLLINGSWOOD, NJ 08108
Community/Behavioral Health
900 HADDON AVE, STE 233
COLLINGSWOOD, NJ 08108
Social Worker
900 HADDON AVE
COLLINGSWOOD, NJ 08108
Family Medicine
900 HADDON AVE, SUITE 136
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.

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 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.