Active NPI
Kimberly Lynn Harden, MSW, LSW
- Social Worker
- Urbana, IL
National Provider Identifier
1811021942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149012828
- Practice address
- 509 W University Ave
Urbana, IL 61801-1645 - Phone
- (217) 383-6636
- Fax
- (217) 383-3466
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149012828 | IL | Primary |
Addresses
Primary practice location
509 W University Ave
Urbana, IL 61801-1645
Mailing address
PO Box 6002
Urbana, IL 61803-6002
Phone (217) 326-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keri Powell Therapy Inc | Current | Accepting new patients |
Locations
2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Keri Powell Therapy
- Mental Health Counselor
- Champaign, IL
- NPI 1174751663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1811021942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6002",
"city": "URBANA",
"state": "IL",
"postal_code": "618036002",
"telephone_number": "217-326-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W UNIVERSITY AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618011645",
"telephone_number": "217-383-6636",
"fax_number": "217-383-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149012828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.