KINDRA A WESTON – Mental Health Counselor, NPI 1174915359

KINDRA A WESTON is a healthcare provider. based in Shenandoah, Iowa. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for KINDRA A WESTON is 1174915359

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KINDRA A WESTON
NPI
1174915359
Phone
(712) 246-7390
Address
300 PARK AVE
Enumeration Date
25 February 2015
Last Update Date
25 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122460159
Graduation Year
2011 (15 years ago)
PAC ID
2163792862
Group Practice PAC ID
5991075699
Professional Enrollment ID
I20240314001286
Address ID
IA516011705SH523XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for KINDRA A WESTON

  • 300 PARK AVE

    SHENANDOAH, IA 516012327

    Phone: (712) 246-7390

    Fax: (712) 246-7319

    Type: Location

  • 300 PERSHING AVE

    SHENANDOAH, IA 516012355

    Phone: (712) 246-1230

    Fax: (712) 246-7357

    Type: Mailing

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: 2024-03-14

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
I20240314001286IMental Health CounselorIATBD

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 51601)

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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: 5991075699View full group profile
NameSpecialtyState
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health CounselorIA
Mental Health Counselor, Clinical Social WorkerNC

Reviews

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Frequently asked questions

Does KINDRA A WESTON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KINDRA A WESTON uses 1174915359.
Does CMS list KINDRA A WESTON as active?
Yes — KINDRA A WESTON is active in the NPI listing used on this page.
What is KINDRA A WESTON's specialty?
The listing groups KINDRA A WESTON with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where is KINDRA A WESTON based?
KINDRA A WESTON is tied to Shenandoah, Iowa in the data we show; additional addresses may exist on the full record.
Is the information about KINDRA A WESTON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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