Kimberly M Reiser, MA, NCC, CAADC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.008279 Issued in IL

Practice address

125 Spuhler Dr
Batavia, IL 60510-1624

Phone

(847) 530-6425

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• HQL Psychotherapy

  • Mental Health Counselor
  • Batavia, IL
  • NPI 1821702523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1447793732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SPUHLER DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101624",
            "telephone_number": "847-530-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SPUHLER DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101624",
            "telephone_number": "847-530-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISER",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MA, NCC, CAADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britany Reed, SLP, CFY
• Maria Regalado, SLPA
• Carina Lee Reichardt, RPH
• Jennifer Marie Reid, MA CCC-SLP/L
• Caitlin Anne Reisel, MS
• Rena Szabo, Psy.D., LLC
• Renewed Life Rehab and Pain Solutions PLLC
• Carlos Jonathan Reveles, BA
• Courtney Reynolds, MOT, OTR/L
• Quentin Rice, LMT, PHTC

• Professional Counselor in Batavia, IL
• Providers in Batavia, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.