KIMBERLY LOUISE KEON – Addiction (Substance Use Disorder) Counselor, NPI 1134865322
Addiction (Substance Use Disorder) Counselor
Main info
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Profile Insights
NPPES metrics only — not quality of care.
893 MENTAL HEALTH COUNSELOR in IN
Provider Addresses for KIMBERLY LOUISE KEON
350 Indian Boundary Rd
Chesterton, IN 463041511
Phone: (219) 308-1570
Type: Location
9111 Broadway Ste N
Merrillville, IN 464107097
Phone: (219) 791-1006
Type: Location
7035 KNICKERBOCKER PKWY
HAMMOND, IN 463232028
Phone: (773) 655-2924
Type: Mailing
350 INDIAN BOUNDARY RD
CHESTERTON, IN 463041511
Phone: (219) 308-1570
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
720 45TH ST
MUNSTER, IN 463212818
Phone: (219) 852-2513
Fax: (317) 865-1479
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: 2024-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241205000673 | I | Mental Health Counselor | IN | TBD |
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.
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 46304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN |
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