KENDRA J. COLE (LCSW) – Clinical Social Worker, NPI 1548352248

KENDRA J. COLE (LCSW) is a healthcare provider. based in Mattoon, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149-007401 (IL). The NPI Number for KENDRA J. COLE (LCSW) is 1548352248

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA J. COLE (LCSW)
NPI
1548352248
Phone
(217) 238-6055
Address
1005 HEALTH CENTER DR STE 201
Enumeration Date
29 September 2006
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172584042
Graduation Year
1992 (34 years ago)
PAC ID
4486673324
Group Practice PAC ID
5092614867
Professional Enrollment ID
I20051121000302
Address ID
IL619384637MA1005XDRXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for KENDRA J. COLE (LCSW)

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384693

    Phone: (217) 238-6055

    Type: Mailing

  • 1005 HEALTH CENTER DR STE 102

    MATTOON, IL 619384693

    Phone: (217) 258-4042

    Fax: (217) 258-4053

    Type: Location

  • 1004 Health Center Dr Ste 210

    Mattoon, IL 619384608

    Phone: (217) 348-4961

    Type: Location

  • PO BOX 372

    MATTOON, IL 619380372

    Phone: (217) 258-2581

    Type: Mailing

  • 700 W LINCOLN AVE STE 200

    CHARLESTON, IL 619202468

    Phone: (217) 238-4042

    Fax: (217) 238-4053

    Type: Location

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: 2005-11-21

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
I20051121000302IClinical Social WorkerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes41244$0
98968Telephone medical discussion provided by nonphysician professional, 21-30 minutes6417$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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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: 5092614867View full group profile
NameSpecialtyState
-IL
Physical Therapist In Private PracticeIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Infectious DiseaseIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm KENDRA J. COLE (LCSW)'s NPI?
Yes. KENDRA J. COLE (LCSW) is listed with NPI 1548352248 in the public NPI dataset.
Does CMS list KENDRA J. COLE (LCSW) as active?
Yes — KENDRA J. COLE (LCSW) is active in the NPI listing used on this page.
What is KENDRA J. COLE (LCSW) best known for clinically?
Directory data describes KENDRA J. COLE (LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What area does KENDRA J. COLE (LCSW) serve?
KENDRA J. COLE (LCSW)'s listing highlights Mattoon, Illinois; more addresses can appear in NPPES.
Is the information about KENDRA J. COLE (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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