KIM NYGAARD (LCPC, CADC) – Professional Counselor, NPI 1336394840

KIM NYGAARD (LCPC, CADC) is a healthcare provider. based in Lake in the hills, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC, CADC. They hold a License No. 180.002330 (IL). The NPI Number for KIM NYGAARD (LCPC, CADC) is 1336394840

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
KIM NYGAARD (LCPC, CADC)
NPI
1336394840
Phone
(224) 577-6105
Address
311 HARVEST GATE
Enumeration Date
25 November 2008
Last Update Date
25 November 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154449999
Graduation Year
1995 (31 years ago)
PAC ID
5890132344
Group Practice PAC ID
7214111582
Professional Enrollment ID
I20240320002380
Address ID
IL600147226CR145XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for KIM NYGAARD (LCPC, CADC)

  • 311, Harvest Gate, Lake in the Hills, McHenry County, Illinois, 60156, United States

    LAKE IN THE HILLS, IL 601564826

    Phone: (224) 577-6105

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240320002380IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60156)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214111582View full group profile
NameSpecialtyState
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerNY
-IL
-IL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Does KIM NYGAARD (LCPC, CADC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIM NYGAARD (LCPC, CADC) uses 1336394840.
Is KIM NYGAARD (LCPC, CADC) listed as active for patients and plans?
The listing shows KIM NYGAARD (LCPC, CADC) as active in the NPI system.
What is KIM NYGAARD (LCPC, CADC) best known for clinically?
Directory data describes KIM NYGAARD (LCPC, CADC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for KIM NYGAARD (LCPC, CADC)?
KIM NYGAARD (LCPC, CADC)'s geographic hint is Lake In The Hills, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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