Kymberly Jay Wiedenkeller, MA, MFT
Marriage & Family Therapist in Elgin, IL. Individual provider (NPI-1).
NPI number1225975253
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1225975253
- Entity type
- Individual (NPI-1)
- Name
- Kymberly Jay Wiedenkeller
- Credential
- MA, MFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2026
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 208001353 | IL | Yes |
Practice location
244 S Randall Rd # 808Elgin, IL 60123-5529
Phone 847-595-0662
Mailing address
209 Kelsey RdLake Barrington, IL 60010-1557
Phone 310-429-1974
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Marriage & Family Therapist providers in Elgin · All 3,029 providers in Elgin
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