Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992053771 Individual Practitioner Female Practitioner

Dr. Kimberly Kaye Asner-Self , EdD, NCC, LCPC

Counselor - Professional • Herrin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Asner-Self, EdD, NCC, LCPC is a registered healthcare professional specializing in Counselor - Professional in Herrin, IL. Practice services are available at 109 LOU ANN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Lou Ann Dr

Herrin, IL 629483733

Telephone 6189881330
Fax 6189888321
Associated Practice Facility / Clinic
🏢 David E Matthews Facility NPI 1164451902

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Herrin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Herrin, IL (9683 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.004440

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensed Clinical Profession Counselor
180.004440 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
David Matthews , LCSW

Social Worker - Clinical

NPI 1205896784

Licensed Clinical Social Worker

Robyn Davis , LCSW

Social Worker - Clinical

NPI 1336356245

Licensed Clinical Social Worker

Lyn Flahardy , LCSW

Social Worker - Clinical

NPI 1508836362

Licensed Clinical Social Worker

Melinda Squires , LCSW

Social Worker - Clinical

NPI 1649516691

Licensed Clinical Social Worker

Marcia Malnar

Social Worker - Clinical

NPI 1801856919
Stephanie Gustave , LPC, AMFT

Counselor - Professional

NPI 1821058066

Licensed Professional Counselor, Associate Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2012

Registered at 109 LOU ANN DR, HERRIN, IL 629483733 (Tel: 6189881330)

📍
Updated Business Mailing Address August 27, 2012

Registered at 625 WHAM DR, MAIL CODE 4618, CARBONDALE, IL 629014313 (Tel: 6184532311)

👤
Provider Name / Credentials Updated August 27, 2012

Recorded as KIMBERLY ASNER-SELF, ED.D., NCC, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2012

Counselor (License #180.004440 in IL)

🟢
Initial NPI Registration & Enumeration August 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992053771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2012
Last Update: August 27, 2012
Sole Proprietor: No

Mailing Address

625 Wham Dr, Mail Code 4618

Carbondale, IL 629014313

Phone: 6184532311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.