Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Fawley

Individual provider Mental Health Counselor · NPI 1356773717

Kimberly Fawley is a Mental Health Counselor in Pekin, Illinois. Qualified in 2019, 7 years ago. Practices with Tazwood Mental Health Center Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2013
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Practice location Address checks out

3248 Vandever Ave
Pekin, IL 61554-6257
Phone: (309) 347-5579
Fax: (309) 347-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1356773717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2013
Last updated in NPPESAugust 7, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tazwood Mental Health Center Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pekin