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Kimberly S Devos , LCPC

Counselor - Professional β€’ Dixon, IL

Active NPI 1104052265 Individual Practitioner Female Practitioner
Practice location in NPPES

905 Walton Rd
Dixon, IL 610218347

Call 8152741205 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

905 Walton Rd

Dixon, IL 610218347

Telephone 8152741205
Organization at the Same NPPES Address or Phone
Abundant Life Counseling And Wellness Group Facility NPI 1194385401

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dixon and Illinois

16 active clinicians are listed under Counselor - Professional with a practice address in Dixon, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dixon

0% of these 16 clinicians have the CMS telehealth indicator.

12.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180.010458
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178.006100
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 12, 2024

Registered at 905 WALTON RD, DIXON, IL 610218347 (Tel: 8152741205)

πŸ“
Updated Business Mailing Address December 12, 2024

Registered at 905 WALTON RD, DIXON, IL 610218347 (Tel: 8152741205)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2024

Counselor (license number reported to NPPES: IL 178.006100)

βœ…
NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2016

Registered at 15255 S 94TH AVE, SUITE 500, ORLAND PARK, IL 604623800 (Tel: 8152741205)

πŸ“
Business Mailing Address (Initial Record) August 15, 2016

Registered at 15255 S 94TH AVE, SUITE 500, ORLAND PARK, IL 604623800 (Tel: 8152741205)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2016

Recorded as KIMBERLY DEVOS, LCPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Counselor (license number reported to NPPES: IL 180.010458)

🟒
Initial NPI Registration & Enumeration June 03, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104052265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2009
Last Update: December 12, 2024
Sole Proprietor: Yes

Mailing Address

905 Walton Rd

Dixon, IL 610218347

Phone: 8152741205

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.