Individual provider Active NPI

Anna Dwyer Kilmer, MED, NCC, LPC, CAADC

  • Professional Counselor
  • Lansdale, PA
National Provider Identifier
1225182223
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014125 Issued in PA
Practice address
650 N Cannon Ave # 112
Lansdale, PA 19446-1874
Phone
(267) 458-2927
Fax
(267) 291-6468
NPI assigned
Jan 23, 2007
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006991 GA
Professional Counselor 101YP2500X PC014125 PA Primary

Addresses

Primary practice location

650 N Cannon Ave # 112
Lansdale, PA 19446-1874

Mailing address

650 N Cannon Ave # 112
Lansdale, PA 19446-1874
Phone (267) 458-2927

Other names 1

  • Ms. Anna Dwyer Skinner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC006991GAMDProfessional Counselor
PC014125PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna's Alcove Professional CurrentSince Mar 27, 2022 Accepting new patients
White Willow Counseling and Recovery Center Professional Past Accepting new patients

Locations

20 Vine St
Unit 1102
Lansdale, PA 19446

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1225182223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N CANNON AVE # 112",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461874",
            "telephone_number": "267-458-2927",
            "fax_number": "267-291-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CANNON AVE # 112",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461874",
            "telephone_number": "267-458-2927",
            "fax_number": "267-291-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILMER",
        "first_name": "ANNA",
        "middle_name": "DWYER",
        "name_prefix": "Ms.",
        "credential": "MED, NCC, LPC, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006991",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SKINNER",
            "middle_name": "DWYER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.