KIMBERLY RABIDEAU – Counselor, NPI 1619422698

KIMBERLY RABIDEAU is a healthcare provider. based in Watseka, Illinois. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for KIMBERLY RABIDEAU is 1619422698

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RABIDEAU
NPI
1619422698
Phone
Not provided
Address
323 W MULBERRY ST
Enumeration Date
19 August 2016
Last Update Date
19 August 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154325241201
Graduation Year
2017 (9 years ago)
PAC ID
9436671344
Group Practice PAC ID
4082673025
Professional Enrollment ID
I20250320001889
Address ID
IL609701568WA323XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for KIMBERLY RABIDEAU

  • 323, West Mulberry Street, Watseka, Iroquois County, Illinois, 60970, United States

    PO BOX 322

    WATSEKA, IL 609701568

    Phone:

    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: 2025-03-20

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
I20250320001889IMental 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 60970)

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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: 4082673025View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL

Reviews

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Frequently asked questions

Does KIMBERLY RABIDEAU share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY RABIDEAU uses 1619422698.
Is KIMBERLY RABIDEAU still practicing?
KIMBERLY RABIDEAU is currently listed as active in the public NPI registry.
What taxonomy line describes KIMBERLY RABIDEAU?
For research purposes, treat KIMBERLY RABIDEAU as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY RABIDEAU serve?
KIMBERLY RABIDEAU's listing highlights Watseka, Illinois; more addresses can appear in NPPES.
Is the information about KIMBERLY RABIDEAU up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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