AIMEE KACKLEY (LPC) – Professional Counselor, NPI 1386161503

AIMEE KACKLEY (LPC) is a healthcare provider. based in Evanston, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 937396 (IL). The NPI Number for AIMEE KACKLEY (LPC) is 1386161503

Main info

Female
Sole Proprietor
13 Years Of Experience
Name
AIMEE KACKLEY (LPC)
NPI
1386161503
Phone
(312) 237-1419
Address
1112 CHURCH ST # 1W
Enumeration Date
28 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479199096
Graduation Year
2013 (13 years ago)
PAC ID
8628417409
Group Practice PAC ID
6800252669
Professional Enrollment ID
I20240423000943
Address ID
IL600622462NO3100XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for AIMEE KACKLEY (LPC)

  • Church Street, Evanston, Evanston Township, Cook County, Illinois, 60203, United States

    EVANSTON, IL 602013604

    Phone: (312) 237-1419

    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: 2024-04-23

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
I20240423000943IMental 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 60201)

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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: 6800252669View full group profile
NameSpecialtyState
Nurse PractitionerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Where can patients find AIMEE KACKLEY (LPC)'s NPI?
You can confirm AIMEE KACKLEY (LPC) with NPI 1386161503; it appears in the national provider directory.
Is AIMEE KACKLEY (LPC) active in the national directory?
AIMEE KACKLEY (LPC)'s public NPI profile is in an active state.
Does AIMEE KACKLEY (LPC) list a primary specialty?
If you are matching referrals, note Professional Counselor for AIMEE KACKLEY (LPC). Clinical services aligned with this taxonomy classification.
Where does public data place AIMEE KACKLEY (LPC)?
The snapshot lists Evanston, Illinois for AIMEE KACKLEY (LPC); download NPPES for the complete set.
How can I contact AIMEE KACKLEY (LPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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